NPI 1043836398
Mackenzie Reyes
Practice location
- Address
- 300 W Swanson Ave, Wasilla, AK 99654-6844
- Phone
- (907) 357-0890
- Mailing address
- 1440 N Pioneer Peak Dr, Wasilla, AK 99654-5924
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1043836398
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jun 2020
- Record last updated
- 23 Jun 2020
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.