Lindie McKenzie
Behavior Technician in Portage, MI. Individual provider (NPI-1).
NPI number1801321997
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1801321997
- Entity type
- Individual (NPI-1)
- Name
- Lindie McKenzie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2017
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1617 E Milham AveSuite B
Portage, MI 49002-3049
Phone 269-303-5931
Mailing address
6296 Bridgeport Village Square Dr Ste 2Bridgeport, MI 48722-9655
Phone 989-401-1239
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All 327 Behavior Technician providers in Portage · All 1,955 providers in Portage
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