Individual
DANIELLE HUTCHINGS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 CHEYENNE DR, SHELLEY, ID 83274-4705
(208) 534-1809
Mailing address
392 CHEYENNE DR, SHELLEY, ID 83274-4705
(208) 534-1809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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