Individual
MACKENZIE DARIANNA BRAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
174400000X
Specialist
—
—
Other
Enumeration date
06/21/2019
Last updated
09/10/2019
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