McKenzie Beth Prutsman
Behavior Analyst in Bloomsburg, PA. Individual provider (NPI-1).
NPI number1154920171
StatusActive
Last updated in NPPESMay 11, 2026
Details
- NPI
- 1154920171
- Entity type
- Individual (NPI-1)
- Name
- McKenzie Beth Prutsman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2020
- Certification date
- May 11, 2026
- Last updated
- May 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | PA | Yes |
Practice location
170 E 9th StBloomsburg, PA 17815-2740
Phone 570-330-6070
Mailing address
351 Tenny StBloomsburg, PA 17815-3264
Phone 570-802-3099
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