Individual
MEGAN PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E MOUNT VERNON ST STE 103, SMYRNA, DE 19977-1484
(302) 278-0052
Mailing address
395 PONDEROSA DR, MAGNOLIA, DE 19962-1209
(302) 278-0052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
DE
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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