Individual
MACKENZIE RAE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA-NY
Contact information
Practice address
7 CENTURY HILL DR, LATHAM, NY 12110-2113
(518) 641-1119
Mailing address
PO BOX 367, STAATSBURG, NY 12580-0367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004078
NY
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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