MS. Mackenzie Laesch, BCBA
NPI #1508363649 in Bloomington, Illinois
Provider Information
- NPI Number
- 1508363649
- Entity Type
- Individual
- Name
- MS. Mackenzie Laesch, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Apr 6, 2018
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 301 S PROSPECT RD STE 2
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4908
- Phone
- (224) 436-0788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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