Provider Demographics
NPI:1891504015
Name:MCCONNELL, JANALEE ANN
Entity type:Individual
Prefix:
First Name:JANALEE
Middle Name:ANN
Last Name:MCCONNELL
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 1:2101 W ENTERPRISE AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5839
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:299 W PEARL ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:IN
Practice Address - Zip Code:47336
Practice Address - Country:US
Practice Address - Phone:765-896-7140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician