Donnell McCauley Jr.
Behavior Technician in West Frankfort, IL. Individual provider (NPI-1).
NPI number1003370255
StatusActive
Last updated in NPPESJan 22, 2019
Details
- NPI
- 1003370255
- Entity type
- Individual (NPI-1)
- Name
- Donnell McCauley Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2019
- Last updated
- Jan 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IL | Yes |
| 103K00000X | Behavior Analyst | – | IL |
Practice location
902 W Main StWest Frankfort, IL 62896-2210
Phone 317-937-6483 · Fax 618-937-1440
Mailing address
902 W Main StWest Frankfort, IL 62896-2210
Phone 317-937-6483 · Fax 618-937-1440
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