NPI 1508356320 · live from the CMS NPI Registry
Mackenzie Juanita Bowers
Behavior Analyst in Hoover, AL. National Provider Identifier 1508356320, active.
NPI record
| NPI | 1508356320 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1820 Southpark Dr, Hoover, AL 35244 |
| Practice phone | 205-961-4726 |
| Mailing address | 12530 109th Ct Ne, Kirkland, WA 98034 |
| Enumerated | May 16, 2018 |
| Last updated | November 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | 1-22-62520 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.