KENNEDY VAN DAM
NPI 1124982723
Behavior Technician in Taylorsville, UT
About Kennedy Van Dam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY VAN DAM (NPI 1124982723) is an individual behavior technician in Taylorsville, Utah and active in the NPI registry since December 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kennedy Van Dam's NPI number?
The NPI number for Kennedy Van Dam is 1124982723. It was assigned to this individual provider in the NPPES registry on December 10, 2025.
Where is Kennedy Van Dam located?
Kennedy Van Dam practices at 5558 S 1900 W, Taylorsville, UT 84129. The listed phone number is (801) 255-5131.
What is Kennedy Van Dam's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Kennedy Van Dam was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.