Individual
MCKENZIE LEE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512
Mailing address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(401) 932-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76102
CT
Other
Enumeration date
08/15/2019
Last updated
11/05/2024
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