Individual
NICHOLE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68264 PINEY WOODS LN, COVINGTON, LA 70433-0335
(985) 789-3108
Mailing address
68264 PINEY WOODS LN, COVINGTON, LA 70433-0335
(985) 789-3108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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