NPI 1669159018 · live from the CMS NPI Registry
Makayla Bryn Merry, BCBA
Behavior Analyst in Bangor, ME. National Provider Identifier 1669159018, active.
NPI record
| NPI | 1669159018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 396 Griffin Rd Unit 106, Bangor, ME 04401 |
| Practice phone | 207-573-1000 |
| Enumerated | June 28, 2023 |
| Last updated | July 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-62067 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.