Mckenzie, Maryssa

Mckenzie, Maryssa is an individual health care provider with primary practice located at 3610 Snell Ave , San Jose CA 95136-1305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mckenzie, Maryssa can be contacted via phone (408) 618-5265.

Contact Information

Primary practice address
3610 Snell Ave San Jose CA 95136-1305
Phone: (408) 618-5265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-30705 California

Profile Details

NPI number 1467762732
LBN Legal business name Mckenzie, Maryssa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Jul 22nd, 2018 - about 6 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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