Wellformed AI

NPI 1225439086 · live from the CMS NPI Registry

Shavona Mckinney, MS, LBS

Behavior Analyst in Middletown, DE. National Provider Identifier 1225439086, active.

NPI record

NPI1225439086 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location410 N Ramunno Dr, Unit 2311, Middletown, DE 19709
Practice phone302-373-5924
EnumeratedSeptember 11, 2014
Last updatedSeptember 11, 2014
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBH002471 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.