Cook, Mackenzie Diane
Cook, Mackenzie Diane is an individual health care provider with primary practice located at 13947 S Newburg Dr , Herriman UT 84096-6787. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Cook, Mackenzie Diane can be contacted via phone (801) 506-6695.Contact Information
Primary practice address
13947 S Newburg Dr
Herriman UT 84096-6787
Phone: (801) 506-6695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1710409578 |
|---|---|
| LBN Legal business name | Cook, Mackenzie Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2017 |
| Last updated | Jul 13th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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