Individual
MCKENZIE MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2484 BRIGHTS PIKE, MORRISTOWN, TN 37814
(865) 312-8220
(833) 550-1727
Mailing address
PO BOX 32665, KNOXVILLE, TN 37930-2665
(865) 312-8220
(833) 550-1727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72850
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2022
Last updated
09/10/2024
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