Individual
MCKENZIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2541 PASS RD STE A, BILOXI, MS 39531-2112
(850) 607-6910
(850) 607-6932
Mailing address
3771 STEFANI RD, CANTONMENT, FL 32533-7795
(850) 607-6910
(850) 607-6932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43901
LA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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