Individual
EDWARD MCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 E UNION HILLS DR STE A109, PHOENIX, AZ 85050-3386
(602) 675-2177
Mailing address
4045 E UNION HILLS DR STE A109, PHOENIX, AZ 85050-3386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/24/2013
Last updated
09/01/2023
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