Individual
MACKENZIE LEILANI NUTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HATCHER LN, CLARKSVILLE, TN 37043-5901
(931) 444-1449
Mailing address
3556 TEAL DR, CLARKSVILLE, TN 37042-7256
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-412516
TN
Other
Enumeration date
02/17/2025
Last updated
03/18/2025
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