Mikala Danielle Crede

NPI #1861217291 in Glen Carbon, Illinois

Provider Information

NPI Number: 1861217291
Entity Type: Individual
Name: Mikala Danielle Crede
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 20, 2024
Last Updated: Nov 20, 2024

Practice Location

Address: 4559 BENES AVE
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1541
Phone: (217) 525-8332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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