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Contact Information

LAMAR D MACK, MBA
3704 E IRVINGTON RD # 156
TUCSON, AZ85714-1958
 Phone: 520-688-0856
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Day Traning/Habilitation Specialist

373H00000X
Indicates primary specialty

NPI Profile & details for LAMAR D MACK · (Male)

NPI # 1396454666
Status Active
Credentials MBA
Entity Individual
Enumeration date 11/16/2022
Last updated 04/22/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 21273
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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