Mackenzie Johnson
Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1831985779
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1831985779
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2025
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9769 Crosspoint BlvdIndianapolis, IN 46256-3531
Phone 317-588-2732
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
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