Mekenzie Leuk
Behavior Technician in Provo, UT. Individual provider (NPI-1).
NPI number1013769736
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1013769736
- Entity type
- Individual (NPI-1)
- Name
- Mekenzie Leuk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
585 E 1860 S Bldg 6Provo, UT 84606-7312
Phone 801-935-4171
Mailing address
16255 Ventura Blvd Ste 830Encino, CA 91436-2317
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