Patricia Mack, BA

NPI #1427747559 in Leesburg, Florida

Provider Information

NPI Number: 1427747559
Entity Type: Individual
Name: Patricia Mack, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BA
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: 30452 PINTAIL DR
City: Leesburg
State: Florida
ZIP Code: 34748-8482
Phone: (407) 744-6566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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