Makynna Joyce Wickwire

NPI #1316607815 in Sayre, Pennsylvania

Provider Information

NPI Number: 1316607815
Entity Type: Individual
Name: Makynna Joyce Wickwire
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 23, 2021
Last Updated: Dec 23, 2021

Practice Location

Address: 203 S ELMER AVE
City: Sayre
State: Pennsylvania
ZIP Code: 18840-2019
Phone: (607) 742-9752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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