Millicent Mackonya, CB
Millicent Mackonya, CB is a Behavior Technician in Sammamish, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
22845 SE 1st Pl Apt 215Sammamish, WA 98074-5038
Phone: (805) 668-8961
Fax: (208) 416-6922
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence CB61046162 (WA) |
|---|
Record details
| NPI number | 1861027963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CB |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2020 |
| Last updated in NPPES | March 9, 2020 |
| Certification date | March 9, 2020 |
| Mailing address | 22845 Se 1st Pl Apt 215, Sammamish, WA 98074-5038 |
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