JOHN MACK

Behavior Technician

Active Individual
NPI: 1740054006

Practice Address

2600 FERNBROOK LN N STE 138
Plymouth, MN 55447

Phone: (952) 544-0349

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1740054006 is the National Provider Identifier for JOHN MACK, a Behavior Technician provider located in Plymouth, MN. This NPI was enumerated on November 8, 2023.
JOHN MACK practices at 2600 FERNBROOK LN N STE 138, Plymouth, MN 55447.

Quick Facts

NPI
1740054006
Type
Individual
Enumerated
Nov 8, 2023
Last Updated
Nov 8, 2023

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