Mackenzie Marie Lane, BEHAVIOR TECHNICIAN

NPI #1164315529 in Ypsilanti, Michigan

Provider Information

NPI Number: 1164315529
Entity Type: Individual
Name: Mackenzie Marie Lane, BEHAVIOR TECHNICIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BEHAVIOR TECHNICIAN
Enumeration Date: Jun 2, 2025
Last Updated: Jun 2, 2025

Practice Location

Address: 5300 W MICHIGAN AVE
City: Ypsilanti
State: Michigan
ZIP Code: 48197-9234
Phone: (734) 361-2504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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