Individual
JA'NIA K MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 352-6232
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
12/12/2022
Last updated
12/19/2024
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