Mackenzie Mcnutt

NPI #1932805231 in Upland, California

Provider Information

NPI Number: 1932805231
Entity Type: Individual
Name: Mackenzie Mcnutt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 7, 2023
Last Updated: Feb 7, 2023

Practice Location

Address: 1888 ECLIPSE WAY
City: Upland
State: California
ZIP Code: 91784-9230
Phone: (909) 493-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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