Keegan Rae Hansen Bennett Mcdonnell

NPI #1629853213 in Laramie, Wyoming

Provider Information

NPI Number: 1629853213
Entity Type: Individual
Name: Keegan Rae Hansen Bennett Mcdonnell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 30, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 1050 N 3RD ST
City: Laramie
State: Wyoming
ZIP Code: 82072-2544
Phone: (307) 212-3824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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