Mackenzie Carll

NPI #1043810328 in Auburn, Michigan

Provider Information

NPI Number: 1043810328
Entity Type: Individual
Name: Mackenzie Carll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 4600 GARFIELD RD STE 800
City: Auburn
State: Michigan
ZIP Code: 48611-9368
Phone: (269) 389-0265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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