Mikayla Jennewine

NPI #1720853542 in White Oak, Pennsylvania

Provider Information

NPI Number: 1720853542
Entity Type: Individual
Name: Mikayla Jennewine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2023
Last Updated: Nov 21, 2023

Practice Location

Address: 500 LONGVUE DR
City: White Oak
State: Pennsylvania
ZIP Code: 15131-1227
Phone: (412) 789-4273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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