Mackenzie Rae Houston

NPI #1144840067 in Baxter, Minnesota

Provider Information

NPI Number: 1144840067
Entity Type: Individual
Name: Mackenzie Rae Houston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 21, 2020
Last Updated: Apr 21, 2020

Practice Location

Address: 14387 EDGEWOOD DR
City: Baxter
State: Minnesota
ZIP Code: 56425-8460
Phone: (218) 454-5181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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