Most Relevant Information
Provider Data
| NPI Number: | 1003638842 |
| Provider Name: | MACKENZIE LINES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/31/2024 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
363 VANADIUM RD STE 300
PITTSBURGH
PA
152431477
Practice Location Phone/Fax
| Phone: | 4124896357 |
| Fax: |
Provider Mailing Location
363 VANADIUM RD STE 300
PITTSBURGH
PA
152431477
Provider Mailing Phone/Fax
| Phone: | 4124896357 |
| Fax: |