Healthcare Provider Details

I. General information

NPI: 1447863717
Provider Name (Legal Business Name): KENNEDY LENTINI BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E MAGNOLIA ST
BELLINGHAM WA
98225-4580
US

IV. Provider business mailing address

310 E MAGNOLIA ST
BELLINGHAM WA
98225-4580
US

V. Phone/Fax

Practice location:
  • Phone: 509-999-5657
  • Fax:
Mailing address:
  • Phone: 360-820-5835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-87631
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: