Individual
MALIAH MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MICROLAB RD STE 3, LIVINGSTON, NJ 07039-1640
(862) 253-3109
Mailing address
335 E 18TH ST, PATERSON, NJ 07524-2628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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