Mckenzie M Branham

NPI #1821645136 in Mansfield, Ohio

Provider Information

NPI Number: 1821645136
Entity Type: Individual
Name: Mckenzie M Branham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2019
Last Updated: Aug 21, 2019

Practice Location

Address: 711 SCHOLL RD
City: Mansfield
State: Ohio
ZIP Code: 44907-1571
Phone: (419) 756-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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