Mackenzie Raena Bartoli, BCBA
Behavior Analyst in Zeeland, MI. Individual provider (NPI-1).
NPI number1982113270
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1982113270
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Raena Bartoli
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2017
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | MI | Yes |
Practice location
126 E Main AveZeeland, MI 49464-1736
Phone 616-970-4172
Mailing address
201 Royal Park DrZeeland, MI 49464-2040
Phone 616-970-4172
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