Most Relevant Information
Provider Data
| NPI Number: | 1003040007 |
| Provider Name: | LYNN MARIE KENNELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2009 |
| Last Updated: | 08/09/2011 |
Provider Practice Location
350 N SIXTH AVENUE
LEBANON
PA
170464065
Practice Location Phone/Fax
| Phone: | 7172749686 |
| Fax: | 7172749549 |
Provider Mailing Location
200 N 7TH STREET
LEBANON
PA
170465040
Provider Mailing Phone/Fax
| Phone: | 7172731710 |
| Fax: | 7172731416 |