Kennedy G. Sanstrom

Behavior Technician · St Clairsville, OH

Individual Active NPI

NPI number 1902644404

Practice location

1 Halloran Drive
St Clairsville, OH 43950
Phone
(740) 296-5743
Fax
(740) 296-5952

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NPI record

NPI
1902644404
Entity type
Individual (Type 1)
Enumeration date
July 18, 2024
Last updated
July 25, 2024
Certified
July 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

214 Thorn Ave
Moundsville, WV 26041-1249

About Kennedy Sanstrom

Kennedy G. Sanstrom is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1 Halloran Drive, St Clairsville, OH 43950. The NPI number 1902644404 was assigned on July 18, 2024 and the record was last updated on July 25, 2024.

Frequently asked questions

What is the NPI number of Kennedy G. Sanstrom?

The NPI number is 1902644404.

What is the phone number of Kennedy Sanstrom?

The phone number listed for the practice location is (740) 296-5743.

Where is Kennedy Sanstrom located?

1 Halloran Drive, St Clairsville, OH 43950.

What is the taxonomy code for Kennedy Sanstrom?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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