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NPI Code Detail

MEDICARE: MACKENZIE LAVEE VALENCIA

MEDICARE: MACKENZIE LAVEE VALENCIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst14261194-2506UT

General Provider Information

NPI Number : 1144980772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE LAVEE VALENCIA
Provider Business Mailing Address
First Line : 2985 N 935 E STE 7
Second Line :
City : LAYTON
State : UT
Zip : 84040-7318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2985 N 935 E STE 7
Second Line :
City : LAYTON
State : UT
Zip : 84040-7318
Country : US
Telephone Number : 801-771-0273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2021
Last Update Date : 12/04/2025

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Directions to “ MACKENZIE LAVEE VALENCIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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