Individual
MACKENZIE BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1550 NE WILLIAMSON BLVD # 120, BEND, OR 97701-6071
(541) 640-5601
Mailing address
1819 NE COBY WAY, BEND, OR 97701-6691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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