Most Relevant Information
Provider Data
| NPI Number: | 1003492117 |
| Provider Name: | MACKENZIE SADIE KING |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | S91289793 |
Most Important Dates
| Enumeration Date: | 03/19/2021 |
| Last Updated: | 03/19/2021 |
Provider Practice Location
575 VIRGINIA RD # 310B
CONCORD
MA
017422761
Practice Location Phone/Fax
| Phone: | 9787597001 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST
WOODLAND HILLS
CA
913674976
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |