MEDICARE: HANNAH KENNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	2284	CT

General Provider Information

NPI Number	:	1689533689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH KENNY

Provider Business Mailing Address
First Line	:	1000 BRIDGEPORT AVE STE 405
Second Line	:
City	:	SHELTON
State	:	CT
Zip	:	06484-4660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 BRIDGEPORT AVE STE 405
Second Line	:
City	:	SHELTON
State	:	CT
Zip	:	06484-4660
Country	:	US
Telephone Number	:	203-993-6592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	03/05/2026

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Directions to “ HANNAH KENNY ” Practice Location

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