NPI 1548801129
Mackenzie Jo-Ane Jaquith, MALBABCBA
Practice location
- Address
- 715 Putnam Pike, Greenville, RI 02828-1428
- Phone
- (401) 618-6991
- Fax
- (401) 618-6995
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1548801129
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2019
- Record last updated
- 4 Oct 2019
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.