Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnathon Macneill

Individual provider Developmental Therapist · NPI 1518626951

Johnathon Macneill is a Developmental Therapist in Malden, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
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Practice location Address checks out

628 Broadway Apt 2F
Malden, MA 02148-2054
Phone: (857) 221-6282
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 1922174226 (MA)

Record details

NPI number1518626951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address628 Broadway Apt 2f, Malden, MA 02148-2054

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