Makenzie Thiel
NPI #1912611013 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1912611013
- Entity Type
- Individual
- Name
- Makenzie Thiel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 12, 2023
- Last Updated
- Jan 12, 2023
Practice Location
- Address
- 343 FOUNTAINS PKWY UNIT 201
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2170
- Phone
- (618) 515-1441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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