Grace Mackenzie Temple

NPI #1720686074 in Provo, Utah

Provider Information

NPI Number: 1720686074
Entity Type: Individual
Name: Grace Mackenzie Temple
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 606 W 1720 N APT 206
City: Provo
State: Utah
ZIP Code: 84604-2476
Phone: (847) 826-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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