Individual
MACKENZIE WUEBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
42 WOODCROFT TRL STE D, BEAVERCREEK, OH 45430-1996
(937) 705-6345
Mailing address
42 WOODCROFT TRL STE D, BEAVERCREEK, OH 45430-1996
(937) 705-6345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171254
OH
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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