Individual
MEKENZIE R DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
369 HAMILTON ST APT 1, ALBANY, NY 12210-1880
(801) 243-1788
Mailing address
369 HAMILTON ST APT 1, ALBANY, NY 12210-1880
(801) 243-1788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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