Active NPIIndividual providerSole proprietor

Kelly L Hennessy

Behavior Technician in Goshen, New York

NPI Number1679308571
Practice location
2001 Route 17M, Goshen, NY 10924-5241
Fax
—
Last updated
September 3, 2024

Kelly Lynn Hennessy is a Behavior Technician based in Goshen, NY. Kelly Lynn Hennessy practices in Goshen, NY. The NPI Number for Kelly Lynn Hennessy is 1679308571. The current practice location address for Kelly Lynn Hennessy is 2001 Route 17M, Goshen, NY 10924-5241 and can be reached out via phone at 845-458-8661.

Provider Profile Details

NPI Number
1679308571
Provider Name
Kelly Lynn Hennessy
Provider Entity Type
Individual
Gender
Female
Address
2001 Route 17M, Goshen, NY 10924-5241
Phone Number
845-458-8661
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 3, 2024
Last Update Date
September 3, 2024
Certification Date
September 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2001 Route 17M
Goshen, NY 10924-5241
City
Goshen
Zip
10924-5241
Phone Number
845-458-8661
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
2001 Route 17M
Goshen, NY 10924-5241
City
Goshen
State
NY
Zip
10924-5241

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly L Hennessy?

The NPI number of Kelly L Hennessy is 1679308571. It was assigned on September 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Kelly L Hennessy?

Kelly L Hennessy is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Kelly L Hennessy practice?

The practice location is 2001 Route 17M, Goshen, NY 10924-5241. The office can be reached at 845-458-8661 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679308571 directly on the NPPES registry website.

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