Mckenna Olivia Deatley

NPI #1174399653 in Kingman, Indiana

Provider Information

NPI Number: 1174399653
Entity Type: Individual
Name: Mckenna Olivia Deatley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 2700 E LIMEPIT RD
City: Kingman
State: Indiana
ZIP Code: 47952-8030
Phone: (765) 749-2763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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