Individual
MACKENZIE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 CHUCK GRAY CT, OWENSBORO, KY 42303-7308
(270) 843-5383
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-286623
KY
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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