Individual provider · Type 1 NPI

Ryan Kennedy

Behavior Analyst · Pueblo, CO

NPI number 1083359517 Active

Practice location

4710 Eagleridge Cir Ste 230
Pueblo, CO 81008-2176

Call (719) 582-8736 Map

Fax (719) 434-9767

Mailing address

4710 Eagleridge Cir
Pueblo, CO 81008-2176

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X1-25-82484 (CO)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1083359517

Ryan Kennedy's National Provider Identifier is 1083359517, issued on Apr 29, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 11, 2025.