Mckenzie Frederick

NPI #1437720885 in Biloxi, Mississippi

Provider Information

NPI Number: 1437720885
Entity Type: Individual
Name: Mckenzie Frederick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2021
Last Updated: Jul 7, 2021

Practice Location

Address: 2541 PASS RD STE A
City: Biloxi
State: Mississippi
ZIP Code: 39531-2112
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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