Individual
MACKENZIE EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
657 QUARRY ST, FALL RIVER, MA 02723-1020
(508) 997-1311
Mailing address
129 FAIRHAVEN RD, MATTAPOISETT, MA 02739-1460
(201) 213-8012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34708
—
Other
Enumeration date
05/01/2019
Last updated
10/21/2019
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