Individual
MRS. MAKENZY MARY MARGARET THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4005 SAWNEY DR, GREENBRIER, TN 37073-5916
(615) 483-6815
Mailing address
4005 SAWNEY DR, GREENBRIER, TN 37073-5916
(615) 483-6815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-260286
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-260286
BEHAVIOR ANALYSIS CERTIFICATION BOARD
TN
Enumeration date
02/27/2023
Last updated
03/15/2023
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