Most Relevant Information
Provider Data
| NPI Number: | 1003573171 |
| Provider Name: | MCKINZI ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/23/2021 |
| Last Updated: | 11/23/2021 |
Provider Practice Location
6516 BROADWAY ST
SUITE 112
PEARLAND
TX
775817880
Practice Location Phone/Fax
| Phone: | 3039898169 |
| Fax: |
Provider Mailing Location
6516 BROADWAY ST
SUITE 112
PEARLAND
TX
775817880
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |