Larson, Mckenzie
Larson, Mckenzie is an individual health care provider with primary practice located at 510 Whispering Wind Dr , Tracy CA 95377-8119. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larson, Mckenzie can be contacted via phone (209) 832-7756.Contact Information
Primary practice address
510 Whispering Wind Dr
Tracy CA 95377-8119
Phone: (209) 832-7756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-54639 | California |
Profile Details
| NPI number | 1710476056 |
|---|---|
| LBN Legal business name | Larson, Mckenzie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2018 |
| Last updated | May 2nd, 2018 - about 8 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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