| NPI | 1245128081 |
|---|---|
| Former Name | MACKENZIE LEE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO RBT-25-447869) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-28 |