| NPI | 1194233056 |
|---|---|
| Former Name | KIMBERLY MARIE HENNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2020-03-02 |