MEDICARE: MACKENZIE STROEBEL

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
1	103K00000X	Behavior Analyst	1-25-86497	TN

General Provider Information

NPI Number	:	1578284972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE STROEBEL

Provider Business Mailing Address
First Line	:	1040 N JAMES M CAMPBELL BLVD STE 108
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-2758
Country	:	US
Telephone Number	:	931-901-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 N JAMES M CAMPBELL BLVD STE 108
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-2758
Country	:	US
Telephone Number	:	931-901-5227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	01/13/2026

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Directions to “ MACKENZIE STROEBEL ” Practice Location

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