NPI 1003410994

Kennedy Massa

Practitioner Behavior Technician Colorado Springs, CO

Practice location

Address: 1330 Quail Lake Loop STE 200, Colorado Springs, CO 80906-4651
Phone: (719) 540-2108

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003410994
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2020
Record last updated: 23 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.