Individual
MACKENZIE JOE MILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., BCBA
Contact information
Practice address
75 CENTRE OF NEW ENGLAND BLVD, COVENTRY, RI 02816-6067
(401) 617-2775
(401) 615-2881
Mailing address
155 GEORGIA AVE, NORTH KINGSTOWN, RI 02852-6000
(401) 241-0333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-3996
RI
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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