Individual provider · Type 1 NPI
Mikayla Bonzo, IECE
Developmental Therapist · Wurtland, KY
Practice location
58 Van Buren Ave
Wurtland, KY 41144-6238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1922714005
Mikayla Bonzo, IECE's National Provider Identifier is 1922714005, issued on Jan 23, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Wurtland, KY. The record was last updated on May 22, 2023.