Individual
MACKENZIE ELISE BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR STE 1, COTTONWOOD HEIGHTS, UT 84121-3061
(801) 935-4171
Mailing address
6910 S HIGHLAND DR STE 1, COTTONWOOD HEIGHTS, UT 84121-3061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69332
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2019
Last updated
11/06/2023
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