Individual
MCKENZIE A BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
(151) 333-5074
Mailing address
1896 PALLADIAN DR APT 1323, FLORENCE, KY 41042-7410
(765) 615-5426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273485
IN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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