Individual
MARKEYA MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W CRESTVIEW ST, CORONA, CA 92882-4116
(951) 570-7467
Mailing address
815 W CRESTVIEW ST, CORONA, CA 92882-4116
(951) 376-3633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
34936
CA
167G00000X
Licensed Psychiatric Technician
Primary
34936
CA
Other
Enumeration date
10/20/2016
Last updated
06/02/2023
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