Millicent Mackonya, CB
NPI #1861027963 in Sammamish, Washington
Provider Information
- NPI Number
- 1861027963
- Entity Type
- Individual
- Name
- Millicent Mackonya, CB
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- CB
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Mar 9, 2020
Practice Location
- Address
- 22845 SE 1ST PL APT 215
- City
- Sammamish
- State
- Washington
- ZIP Code
- 98074-5038
- Phone
- (805) 668-8961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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