| NPI | 1811986300 |
|---|---|
| Former Name | LINDA MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-000703) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-09-13 |