Mackenzie Archambo Valid NPI
Individual provider · Behavior Analyst · O Fallon, IL
- NPI
- 1245702869
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- A625-5419-9602 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-12-20
- Last updated
- 2018-12-20
Practice location
634 N Main St
O Fallon, IL 62269-3751
(618) 726-0701