Raven Samone Mckinney

NPI #1417590936 in Irving, Texas

Provider Information

NPI Number: 1417590936
Entity Type: Individual
Name: Raven Samone Mckinney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 28, 2019
Last Updated: Oct 28, 2019

Practice Location

Address: 3100 PREMIER DR
Address 2: ST 234
City: Irving
State: Texas
ZIP Code: 75063
Phone: (972) 756-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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