Individual
MAKAYLA ZANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 THORNBERRY DR, MADISONVILLE, KY 42431-1672
(270) 702-4641
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-67715
KY
103K00000X
Behavior Analyst
Primary
288109
KY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2019
Last updated
09/21/2023
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