Individual provider · NPI-1
Mckayla Donovan
Behavior Technician · Belcamp, MD
NPI number1720796782
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1720796782
- Entity type
- Individual (NPI-1)
- Name
- Mckayla Donovan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Nov 9, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Creamery LnBelcamp, MD 21017-1499
Phone 443-300-6362
Mailing address
1200 Creamery LnBelcamp, MD 21017-1499
Phone 443-300-6362
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