Individual
ANAIYAH MACKENZI HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7309 CANYON PARK DR BLDG 300, FORT WORTH, TX 76123-3038
(682) 394-2806
Mailing address
7309 CANYON PARK DR BLDG 300, FORT WORTH, TX 76123-3038
(682) 394-2806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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