Individual
MACKENZIE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(855) 772-8847
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
CB61099471
WA
Other
Enumeration date
10/14/2020
Last updated
07/25/2024
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