Individual
MAKENZIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1698 HIGHWAY 160 W STE 240, FORT MILL, SC 29708-8035
(704) 654-8599
(980) 938-6088
Mailing address
8300 FOX CHAPEL LN APT 532, CHARLOTTE, NC 28270-3353
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-258325
NC
Other
Enumeration date
06/06/2023
Last updated
05/10/2024
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