Mackenzie Chacon
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1902575137
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1902575137
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Chacon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9600 Center Ave Ste 160Rancho Cucamonga, CA 91730-5838
Phone 858-264-5858
Mailing address
Po Box 8267Pasadena, CA 91109-8267
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