Mckenzie A Mothershead

NPI #1396630109 in Palmer, Alaska

Provider Information

NPI Number: 1396630109
Entity Type: Individual
Name: Mckenzie A Mothershead
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 11, 2025
Last Updated: Jun 11, 2025

Practice Location

Address: 7335 E PALMER WASILLA HWY
City: Palmer
State: Alaska
ZIP Code: 99645-7710
Phone: (907) 745-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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