Individual provider · Type 1 NPI
Maya Radoccia-Kennen, IBCLC
Lactation Consultant (Non-RN) · Clarkdale, AZ
NPI number
1053797159
Active
Practice location
145 Western Ave
Clarkdale, AZ 86324-2665
Other practice locations
- 2717 N Steves Blvd Ste 11, Flagstaff, AZ 86004-3959 · (928) 301-3274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Non-RN) Primary | 174N00000X | None listed |
Lactation Consultant (Non-RN): An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
About NPI 1053797159
Maya Radoccia-Kennen, IBCLC's National Provider Identifier is 1053797159, issued on Jul 31, 2015. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Clarkdale, AZ. The record was last updated on Aug 15, 2026.