Individual
MACKENZIE BUKOVSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
Mailing address
16 PHELPS ST, KITTERY, ME 03904-1226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21166268
NH
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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