Individual
MAKENZE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 847-5942
Mailing address
PO BOX 105, BYNUM, AL 36253-0105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB648912
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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