Individual
NIKOLA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 549-2281
(801) 513-5608
Mailing address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 549-8821
(801) 513-5608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50814
UT
106S00000X
Behavior Technician
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Other
Enumeration date
08/31/2020
Last updated
09/09/2021
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