Kenner Potter
Behavior Analyst
9740 S Tacoma Way
Tacoma
, Washington 98499-4456
Kenner Potter
Behavior Analyst
9740 S Tacoma Way
Tacoma
, Washington 98499-4456
(425) 891-6747
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Kenner Potter
- 31701 50th Ave E
- Eatonville, WA
- Zip : 98328-9268
- Phone : (425) 891-6747
Second Address
- Kenner Potter
- 9740 S Tacoma Way
- Tacoma, WA
- Zip : 98499-4456
- Phone : (253) 652-0353
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003288242 |
|---|---|
| Provider Name | Kenner Potter |
| First Address | Eatonville, WA 98328-9268 |
| Second Address | Tacoma, WA 98499-4456 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2015 |
| Last Update Date | 28/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.