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Individual

MAQENZI S HOVIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, BCBA, LBA

Contact information

Practice address
2545 FOX POINTE DR, COLUMBUS, IN 47203-3220
(812) 657-3575
(812) 657-3580
Mailing address
2545 FOX POINTE DR, COLUMBUS, IN 47203-3220
(812) 657-3575
(812) 657-3580

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
243624
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300023836
IN
Enumeration date
08/06/2018
Last updated
06/04/2019
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