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McKenzie Catherine Anderson

Behavior Technician in Summerville, SC. Individual provider (NPI-1).

NPI number1316638752
StatusActive
Last updated in NPPESMay 17, 2023

Details

NPI
1316638752
Entity type
Individual (NPI-1)
Name
Mrs. McKenzie Catherine Anderson
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2023
Certification date
May 12, 2023
Last updated
May 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-23-269617SCYes

Practice location

328 Glen St
Summerville, SC 29483-4653

Phone 843-460-2605

Mailing address

328 Glen St
Summerville, SC 29483-4653

Phone 843-460-2605

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