NPI 1417307539 · live from the CMS NPI Registry
Kendra Hall
Behavior Analyst in Jacksonville, IL. National Provider Identifier 1417307539, active.
NPI record
| NPI | 1417307539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1905 W Morton Ave, Jacksonville, IL 62650 |
| Practice phone | 217-479-2300 |
| Mailing address | 3336 Nest Ave, Sheldon, IA 51201 |
| Enumerated | June 20, 2016 |
| Last updated | June 20, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.