KENNEDY VAN DAM

Behavior Technician

Active Individual
NPI: 1124982723

Practice Address

5558 S 1900 W
Taylorsville, UT 84129

Phone: (801) 255-5131

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1124982723 is the National Provider Identifier for KENNEDY VAN DAM, a Behavior Technician provider located in Taylorsville, UT. This NPI was enumerated on December 10, 2025.
KENNEDY VAN DAM practices at 5558 S 1900 W, Taylorsville, UT 84129.

Quick Facts

NPI
1124982723
Type
Individual
Enumerated
Dec 10, 2025
Last Updated
Dec 10, 2025

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