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NPI Code Detail

MEDICARE: MAKENZIE MARIE DEAN

MEDICARE: MAKENZIE MARIE DEAN
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1598632903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZIE MARIE DEAN
Provider Business Mailing Address
First Line : 236 ENTRANCE RD APT 10
Second Line :
City : GOLETA
State : CA
Zip : 93117-2775
Country : US
Telephone Number : 805-757-3548
Fax Number :
Provider Business Practice Location Address
First Line : 2504 REFUGIO RD
Second Line :
City : GOLETA
State : CA
Zip : 93117-9778
Country : US
Telephone Number : 805-757-3548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 03/08/2026

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Directions to “ MAKENZIE MARIE DEAN ” Practice Location

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