Mackenzie Diane Cook

NPI #1710409578 in Herriman, Utah

Provider Information

NPI Number: 1710409578
Entity Type: Individual
Name: Mackenzie Diane Cook
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 13, 2017
Last Updated: Jul 13, 2017

Practice Location

Address: 13947 S NEWBURG DR
City: Herriman
State: Utah
ZIP Code: 84096-6787
Phone: (801) 506-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Peer Specialist	175T00000X

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