Individual
MACKENZIE RUTH RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16560 COMMERCE CT STE A&B, MIDDLEBURG HEIGHTS, OH 44130-6305
(888) 805-0759
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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