Individual
MACKENZIE CRYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(615) 249-4794
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(575) 520-6074
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
06/23/2025
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