Mackenzie Foster
NPI #1487350963 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1487350963
- Entity Type
- Individual
- Name
- Mackenzie Foster
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 449 SOUTH STATE ROUTE 157
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025
- Phone
- (618) 407-5584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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