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Individual
MAKENZIE JO DARIS
Active
Individual
MAKENZIE JO DARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-34353
BACB CERTIFICATION NUMBER
—
Enumeration date
06/17/2019
Last updated
05/06/2020
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