Individual provider · NPI-1

Makenzy Bailey, BCBA

Behavior Analyst · Lakeland, FL

NPI number1689304578
StatusActive
Last updated in NPPESFeb 14, 2025

Details

NPI
1689304578
Entity type
Individual (NPI-1)
Name
Makenzy Bailey
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2022
Certification date
Feb 14, 2025
Last updated
Feb 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-23-64482FLYes

Practice location

454 W Pipkin Rd
Lakeland, FL 33813-2545

Phone 863-619-2809

Mailing address

454 W Pipkin Rd
Lakeland, FL 33813-2545

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