Individual
MACKENZIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3056 MILES JOHNSON PKWY, SPRING HILL, TN 37174-4564
(877) 407-3422
(877) 407-4329
Mailing address
18685 MAIN ST STE 101-459, HUNTINGTON BEACH, CA 92648-1723
(714) 697-1907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
05/09/2025
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