Individual
MACKENZIE MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LABA
Contact information
Practice address
218 WILLARD ST, QUINCY, MA 02169-1518
(781) 421-6182
Mailing address
45 POND ST, NORWELL, MA 02061-1627
(774) 929-5919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3783
MA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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