Mackenzie Rae Lord
Mackenzie Rae Lord is a Behavior Technician in Culver City, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1609590553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 7, 2023 |
| Certification date | October 7, 2023 |
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