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NPI Code Detail

MEDICARE: ALMA DOLORES MCKINNON

MEDICARE: ALMA DOLORES MCKINNON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156CCOTHERASPIRA

General Provider Information

NPI Number : 1063046779
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALMA DOLORES MCKINNON
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 660 BAY BLVD STE 110&111
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-5200
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2020
Last Update Date : 12/17/2025

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Directions to “ ALMA DOLORES MCKINNON ” Practice Location

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