Mackenzie Rose Swant
Individual provider Active NPI Behavior Technician · Cosmos, MN
NPI 1891413043 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1891413043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 320 Saturn St N Ste a
Cosmos, MN 56228-9757 - Phone
- (320) 877-7074
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWWC Service Cooperatives | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
320 Saturn St N Ste a
Cosmos, MN 56228-9757
Mailing address
320 Saturn St N Ste a
Cosmos, MN 56228-9757
Other practice location 1
2419 Washington Ave
Montevideo, MN 56265-2619
Phone (320) 321-1484
Other practice location 2
1314 N Hiawatha Ave
Pipestone, MN 56164-2324
Phone (507) 825-5858
Other providers in Cosmos, MN
- Ashlie Raduenz
- Tori Lynn Riggleman
- Azariah R Sampson
- Katelynn Schumacher
- Southwestern Minnesota Adult Mental Health Consortium
- Abbigale Marie Thomas
- Mariah Thomas
- Brittney Thompson
- Catherine Elizabeth Towne
- Richard Harvey Tracy
All providers in Cosmos, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.