Individual
MACKENZIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32395 CLINTON KEITH RD STE B12, WILDOMAR, CA 92595-7568
(951) 200-5532
Mailing address
32395 CLINTON KEITH RD STE B12, WILDOMAR, CA 92595-7568
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
19424
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/19/2022
Last updated
01/02/2026
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