Mackenzie Jane Judith Bentdahl-Balcom

NPI #1235758830 in Olympia, Washington

Provider Information

NPI Number: 1235758830
Entity Type: Individual
Name: Mackenzie Jane Judith Bentdahl-Balcom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 13, 2020
Last Updated: Apr 13, 2020

Practice Location

Address: 1800 COOPER POINT RD SW STE 21
City: Olympia
State: Washington
ZIP Code: 98502-1179
Phone: (360) 810-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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