Individual
MACKENZIE LOOKNANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4980 HILLSDALE CIR STE ABC, EL DORADO HILLS, CA 95762-5726
(408) 623-7713
Mailing address
4980 HILLSDALE CIR STE ABC, EL DORADO HILLS, CA 95762-5726
(408) 623-7713
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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