Individual
MAKENZIE ISABELLE LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(999) 392-8642
Mailing address
217 STATION ST, JACKSONVILLE, NC 28546-6304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83760
NC
Other
Enumeration date
12/16/2018
Last updated
10/07/2025
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