Quaniesha Mercedes Mack

NPI #1568954428 in Manchester, Missouri

Provider Information

NPI Number: 1568954428
Entity Type: Individual
Name: Quaniesha Mercedes Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 14368 MANCHESTER RD STE 150
City: Manchester
State: Missouri
ZIP Code: 63011-4093
Phone: (636) 688-1403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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