NPI 1033817960

Makenna Rae Stark

Practitioner Behavior Technician Mt Juliet, TN

Practice location

Address: 1535 N Mount Juliet Rd, Mt Juliet, TN 37122-3315
Phone: (615) 560-6622
Mailing address: 1000 Cascadeway Dr, Murfreesboro, TN 37129-4424

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1033817960
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2023
Record last updated: 20 Feb 2023

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.