Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie C. Pass

Individual provider Behavior Analyst · NPI 1710513304

Mackenzie C. Pass is a Behavior Analyst in Marietta, Georgia. Practices as a sole proprietor. Licensed in Colorado and Georgia.

Licensed in
CO, GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2651 Dallas Hwy SW
Marietta, GA 30064-2541
Phone: (678) 486-1904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12041895 (GA)
Behavior Analyst Taxonomy 103K00000X · Licence 12041895 (CO)

Record details

NPI number1710513304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2020
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address128 Jasmine Pkwy # 128, Alpharetta, GA 30022-1684

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