Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Kennedy

Individual provider Behavior Technician · NPI 1770338584

Raven Kennedy is a Behavior Technician in Nampa, Idaho. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

220 W Georgia Ave
Nampa, ID 83686-2835
Phone: (208) 960-7474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1011374 (CO)

Record details

NPI number1770338584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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