Most Relevant Information
Provider Data
| NPI Number: | 1003638388 |
| Provider Name: | KAYDN LENNIE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2024 |
| Last Updated: | 10/29/2024 |
Provider Practice Location
5945 ROCKWELL DR NE
CEDAR RAPIDS
IA
524027360
Practice Location Phone/Fax
| Phone: | 3193829318 |
| Fax: |
Provider Mailing Location
2407 SE DELAWARE AVE # 1140
ANKENY
IA
500214470
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |