Dickerson, Mackenzi

Dickerson, Mackenzi is an sole proprietor health care provider with primary practice located at 925 Dudley Pike , Edgewood KY 41017-8120. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dickerson, Mackenzi can be contacted via phone (859) 360-3006.

Contact Information

Primary practice address
925 Dudley Pike Edgewood KY 41017-8120
Phone: (859) 360-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1134799927
LBN Legal business name Dickerson, Mackenzi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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