Individual provider · Type 1 NPI

Kaylyn Maynard

Developmental Therapist · Peoria, IL

NPI number 1720544976 Active

Practice location

7213 N Allen Rd
Peoria, IL 61614-1107

Call (309) 258-0084 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1720544976

Kaylyn Maynard's National Provider Identifier is 1720544976, issued on Feb 13, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 13, 2019.