Most Relevant Information
Provider Data
| NPI Number: | 1003505124 |
| Provider Name: | MCKENZIE DAVIES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2023 |
| Last Updated: | 05/04/2023 |
Provider Practice Location
29566 NORTHWESTERN HWY STE 100
SOUTHFIELD
MI
480341036
Practice Location Phone/Fax
| Phone: | 8333288476 |
| Fax: |
Provider Mailing Location
29566 NORTHWESTERN HWY STE 100
SOUTHFIELD
MI
480341036
Provider Mailing Phone/Fax
| Phone: | 8333288476 |
| Fax: |