NPI 1104581172
Makenna Bogen
Practice location
- Address
- 1601 2nd Ave N, Great Falls, MT 59401-3259
- Phone
- (062) 402-0454
- Mailing address
- 1611 Highland Dr, Placerville, CA 95667-3607
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1104581172
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Nov 2021
- Record last updated
- 28 Aug 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.