MRS. Shante Mckinzie

NPI #1619496502 in Berlin, Maryland

Provider Information

NPI Number: 1619496502
Entity Type: Individual
Name: MRS. Shante Mckinzie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 10514 RACETRACK RD STE G
City: Berlin
State: Maryland
ZIP Code: 21811-3241
Phone: (410) 973-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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