Individual
NYLA MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 COMMERCIAL ST SE, SALEM, OR 97302-4310
(503) 364-3501
Mailing address
11400 N JOG RD, PALM BEACH GARDENS, FL 33418-1756
(561) 478-8770
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10208339
OREGON HLO
OR
01
—
RBT-20-127304
BACB
—
Enumeration date
07/23/2020
Last updated
09/25/2023
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