| Johanna Mcdonald Llc | |
|
1634 Ferris Ave Apt Suite Orlando FL 32803-1810 | |
| (407) 575-4236 | |
| (407) 893-5892 |
| Full Name | Johanna Mcdonald Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1634 Ferris Ave Apt Suite, Orlando, Florida |
| Authorized Official Name and Position | Johanna Mcdonald (OWNER) |
| Authorized Official Contact | 4075754236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Mcdonald Llc 1634 Ferris Ave Apt Suite Orlando FL 32803-1810 Ph: (407) 575-4236 | Johanna Mcdonald Llc 1634 Ferris Ave Apt Suite Orlando FL 32803-1810 Ph: (407) 575-4236 |
| NPI Number | 1154097145 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154097145 | NPI | - | NPPES |
| 010574100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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