Provider Demographics
NPI:1669887022
Name:MCABEE, MACKENZIE (MS)
Entity type:Individual
Prefix:MISS
First Name:MACKENZIE
Middle Name:
Last Name:MCABEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:MACKENZIE
Other - Middle Name:M
Other - Last Name:MAYNARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:5158 BLAZER PKWY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1339
Mailing Address - Country:US
Mailing Address - Phone:614-586-6006
Mailing Address - Fax:
Practice Address - Street 1:5158 BLAZER PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1339
Practice Address - Country:US
Practice Address - Phone:614-586-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst