Maci Ingram
NPI #1326621277 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1326621277
- Entity Type
- Individual
- Name
- Maci Ingram
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 29, 2021
- Last Updated
- Apr 29, 2021
Practice Location
- Address
- 343 FOUNTAINS PKWY STE 201
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2170
- Phone
- (618) 515-1441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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