Provider Demographics
NPI:1083056824
Name:MCDONALD, JANELLE
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43158 BARNSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-6822
Mailing Address - Country:US
Mailing Address - Phone:571-406-4946
Mailing Address - Fax:703-463-9197
Practice Address - Street 1:43158 BARNSTEAD DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-6822
Practice Address - Country:US
Practice Address - Phone:571-406-4946
Practice Address - Fax:703-463-9197
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst