Mackenzie K Carter

Individual provider Active NPI Behavior Technician · Lakeville, MA

NPI 1487489274 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1487489274
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10 Long Point Rd
Lakeville, MA 02347-2123
Phone
(508) 264-3375
NPI assigned
Sep 3, 2024
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

10 Long Point Rd
Lakeville, MA 02347-2123

Mailing address

10 Long Point Rd
Lakeville, MA 02347-2123
Phone (508) 264-3375

Other providers in Lakeville, MA

All providers in Lakeville, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.