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Individual

MCKENZIE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(888) 701-1388
Mailing address
2473 PEBBLE RIDGE CT, DAVISON, MI 48423-8621

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3304
NC
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
04/20/2022
Last updated
09/24/2025
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