Mckinnon, Mishonda Ethel

Mckinnon, Mishonda Ethel is an sole proprietor health care provider with primary practice located at 2708 Ne 14Th St Suite 5, Pompano Beach FL 33062-3565. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Mckinnon, Mishonda Ethel can be contacted via phone (888) 880-9270.

Contact Information

Primary practice address
2708 Ne 14Th St Suite 5 Pompano Beach FL 33062-3565
Phone: (888) 880-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X North Carolina
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1083909790
LBN Legal business name Mckinnon, Mishonda Ethel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2011
Last updated Jan 3rd, 2018 - about 8 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.

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