Individual
MACKENZIE BEABOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1817 WELLSPRING AVE SE STE D, RIO RANCHO, NM 87124-4956
(383) 750-5828
Mailing address
1817 WELLSPRING AVE SE STE D, RIO RANCHO, NM 87124-4956
(505) 828-3837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/06/2017
Last updated
07/31/2023
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