Mackenzie McGill
Behavior Technician in Monument, CO. Individual provider (NPI-1).
NPI number1760051189
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1760051189
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie McGill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 698022 | CO | Yes |
Practice location
17230 Jackson Creek Pkwy Ste 220Monument, CO 80132-7304
Phone 719-597-0822
Mailing address
17230 Jackson Creek Pkwy Ste 220Monument, CO 80132-7304
Phone 719-597-0822
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