Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106E00000X | Assistant Behavior Analyst | 10602 | CO |
N | 106S00000X | Behavior Technician | RBT-19-80105 | CO |
NPI | 1013475136 |
---|---|
Provider Name | Mackenzie Hirn |
First Address | Colorado Springs, CO 80918-3668 |
Second Address | Colorado Springs, CO 80918-3668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2019 |
Last Update Date | 29/10/2020 |