Mackenzie Shaw

NPI #1356161202 in New Albany, Indiana

Provider Information

NPI Number: 1356161202
Entity Type: Individual
Name: Mackenzie Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 15, 2024
Last Updated: Oct 15, 2024

Practice Location

Address: 821 MOUNT TABOR RD STE 100
City: New Albany
State: Indiana
ZIP Code: 47150-6434
Phone: (812) 297-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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