Individual
MACKENZIE RAYE WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA
Contact information
Practice address
3403B GARDEN VILLA LN, AUSTIN, TX 78704-6915
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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