Courtney Macon

NPI #1407495054 in Holloman Air Force Base, New Mexico

Provider Information

NPI Number: 1407495054
Entity Type: Individual
Name: Courtney Macon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 30, 2019
Last Updated: Dec 30, 2019

Practice Location

Address: 2891 TURNER CT APT B
City: Holloman Air Force Base
State: New Mexico
ZIP Code: 88330-7616
Phone: (707) 372-2137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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