Individual
DANGELO MCKEEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 W GLENDALE AVE STE B100A, PHOENIX, AZ 85051-8194
(775) 364-9001
Mailing address
4225 W GLENDALE AVE STE B100A, PHOENIX, AZ 85051-8194
(775) 364-9001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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