Individual
MACKENZIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S UNIVERSITY BLVD STE 2F, MOBILE, AL 36609-7860
(251) 340-2020
(251) 340-2067
Mailing address
7125 HITT RD, MOBILE, AL 36695-4431
(251) 422-1827
(251) 340-2067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-308526
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT
REGISTERED BEHAVIOR TGECHNICIAN
AL
Enumeration date
11/03/2023
Last updated
12/06/2023
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