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1780244202
MACKENZIE W COUCH
DULUTH, GA
NPI
1780244202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TN 1-18-32004)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
MACKENZIE W COUCH MS,BCBA
4500 SATELLITE BLVD STE 2250
DULUTH, GA 30096-5047
Phone number: 800-381-2195
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Mailing Address
MACKENZIE W COUCH MS,BCBA
4500 SATELLITE BLVD STE 2250
DULUTH, GA 30096-5047
Phone number: 800-381-2195
Copy
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