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NPI Code Detail

MEDICARE: MAUREEN MACDONALD

MEDICARE:   MAUREEN  MACDONALD
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
1103K00000XBehavior Analyst1-20-41329GA

General Provider Information

NPI Number : 1598385262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN MACDONALD
Provider Business Mailing Address
First Line : 170 MEETING ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3153
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 110 TRADERS CROSS FL 1
Second Line :
City : BLUFFTON
State : SC
Zip : 29909-4637
Country : US
Telephone Number : 843-304-2427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2020
Last Update Date : 05/21/2026

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Directions to “ MAUREEN MACDONALD ” Practice Location

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