Makenzie Fay Baxter

NPI #1982197661 in Riverdale, Utah

Provider Information

NPI Number: 1982197661
Entity Type: Individual
Name: Makenzie Fay Baxter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 7, 2018
Last Updated: Jun 7, 2018

Practice Location

Address: 4933 S 1500 W STE 110
City: Riverdale
State: Utah
ZIP Code: 84405-7738
Phone: (180) 182-0642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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