Mackenzie Jo Kussro
Mackenzie Jo Kussro is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1256 Walker Ave NWGrand Rapids, MI 49504-4067
Phone: (844) 969-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1588230759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 28, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | June 4, 2021 |
| Mailing address | 1256 Walker Ave Nw, Grand Rapids, MI 49504-4067 |
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