Polu, Mackenzie

Polu, Mackenzie is an individual health care provider with primary practice located at 18310 Old Coach Way , Poway CA 92064-6636. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Polu, Mackenzie can be contacted via phone (858) 603-3341.

Contact Information

Primary practice address
18310 Old Coach Way Poway CA 92064-6636
Phone: (858) 603-3341
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1093480030
LBN Legal business name Polu, Mackenzie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated May 10th, 2023 - about 3 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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