Individual
MCKENNA C DELANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 NE WILLIAMSON BLVD STE 120, BEND, OR 97701-6091
(541) 640-5601
Mailing address
1550 NE WILLIAMSON BLVD STE 120, BEND, OR 97701-6091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
05/27/2021
Last updated
08/31/2021
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