Mackenzie Danielle Owens

Individual provider Active NPI Behavior Technician · Cookeville, TN

NPI 1093597965 · NPPES record last updated Oct 16, 2023

Key facts

NPI
1093597965
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
206 S Jefferson Ave
Cookeville, TN 38501-4748
Phone
(844) 854-1116
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

206 S Jefferson Ave
Cookeville, TN 38501-4748

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818

Other providers in Cookeville, TN

All providers in Cookeville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.