Provider Demographics
NPI:1356824981
Name:MCNEELEY, MAGDALENA A
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:A
Last Name:MCNEELEY
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 1:5725 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3218
Mailing Address - Country:US
Mailing Address - Phone:520-820-4911
Mailing Address - Fax:
Practice Address - Street 1:6700 E SPEEDWAY BLVD STE 401
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1220
Practice Address - Country:US
Practice Address - Phone:520-448-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-44547103K00000X
AZBEH-001446103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst