Mackenzie Lynne Shaw
NPI #1053929992 in Roseville, California
Provider Information
- NPI Number
- 1053929992
- Entity Type
- Individual
- Name
- Mackenzie Lynne Shaw
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 120 ASCOT DR STE D
- City
- Roseville
- State
- California
- ZIP Code
- 95661-3400
- Phone
- (916) 787-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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