Mackinze Carter
NPI #1417748724 in Bloomington, Illinois
Provider Information
- NPI Number
- 1417748724
- Entity Type
- Individual
- Name
- Mackinze Carter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 15, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 202 SAINT JOSEPH DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3638
- Phone
- (309) 663-8276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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