Mackonya, Millicent
Mackonya, Millicent is an sole proprietor health care provider with primary practice located at 22845 Se 1St Pl Apt 215 , Sammamish WA 98074-5038. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mackonya, Millicent can be contacted via phone (805) 668-8961.Contact Information
Primary practice address
22845 Se 1St Pl Apt 215
Sammamish WA 98074-5038
Phone: (805) 668-8961
Fax: (208) 416-6922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | CB61046162 | Washington |
Profile Details
| NPI number | 1861027963 |
|---|---|
| LBN Legal business name | Mackonya, Millicent |
| Credentials | CB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2020 |
| Last updated | Mar 9th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861027963 | NPPES |
| Washington | Other | CB61046162 | CERTIFIED BEAHVIORALIST |
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