Individual
MACKENZIE JO MARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
(539) 777-0940
Mailing address
5328 E 81ST ST APT 1035, TULSA, OK 74137-2252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62333
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/23/2020
Last updated
12/01/2022
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