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Individual

MACKENZIE L MORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3715 S MADISON ST, MUNCIE, IN 47302-5756
(765) 216-7430
Mailing address
3715 S MADISON ST, MUNCIE, IN 47302-5756
(765) 216-7430

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42568
IN
106E00000X
Assistant Behavior Analyst
0-19-10664
IN

Other

Enumeration date
03/19/2020
Last updated
07/24/2025
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