Individual
MACKENZIE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PENNSYLVANIA AVE SE UNIT 15707, WASHINGTON, DC 20003-7529
(443) 690-5857
Mailing address
4 MURPHY CT, FREDERICKSBURG, VA 22407-6521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1046737
VA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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