NPI 1750940730

McKenzie Marie Roque

Practitioner Assistant Behavior Analyst Bellingham, WA

Practice location

Address: 414 W Bakerview Rd STE 101, Bellingham, WA 98226-8180
Phone: (360) 738-9500

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence CB60972667 (WA)

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Registry record

NPI: 1750940730
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2019
Record last updated: 12 Jun 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.