NPI 1023872884

Mackenzie Crisp, RBT

Practitioner Behavior Technician Gainesville, GA

Practice location

Address: 1220 Sherwood Park Dr NE, Gainesville, GA 30501-3445
Phone: (470) 691-2800

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-326384 (GA)

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Registry record

NPI: 1023872884
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2024
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.