Makenzie R Contreraz

NPI #1922604479 in O Fallon, Illinois

Provider Information

NPI Number: 1922604479
Entity Type: Individual
Name: Makenzie R Contreraz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 634 N MAIN ST STE 4
City: O Fallon
State: Illinois
ZIP Code: 62269-3746
Phone: (618) 726-5870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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