Makenzie Nicole Moore
Behavior Technician in Adrian, MI. Individual provider (NPI-1).
NPI number1558094573
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1558094573
- Entity type
- Individual (NPI-1)
- Name
- Makenzie Nicole Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2022
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1424 S Main StAdrian, MI 49221-4309
Phone 517-312-1711
Mailing address
1424 S Main StAdrian, MI 49221-4309
Phone 517-312-1711
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All 73 Behavior Technician providers in Adrian · All 1,237 providers in Adrian
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