MACKENZIE WELLS (NPI# 1891392809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891392809 |
| Entity Type | Individual |
| Full Name | MACKENZIE WELLS |
| Practice Address |
32 Millbranch Rd Hattiesburg MS 39402-1672 |
| Practice Telephone | 6012555264 |
| Mailing Telephone | 6012555264 |
| Mailing Fax Number | 8866250559 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-136750 | MS | Behavioral Health & Social Service Providers |
| Street Address |
32 MILLBRANCH RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881250082 | Shundrell Mcmullan | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2019-05-13 |
| 1437761723 | Jazmine A Robertson | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-08-19 |
| 1568072072 | Kathleen Lolley Ramsey | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-08-10 |
| 1174141451 | Shamiah Evans | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-13 |
| 1750909594 | Halley Claire Blanchard | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-08 |
| 1487271599 | Marshall Parker Lundy | Behavioral Analyst | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-06 |
| 1588282644 | Lydia Jonae Mitzel | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881250082 | Shundrell Mcmullan | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2019-05-13 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1851992200 | Amanda Stanley | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-11-03 |
| 1437761723 | Jazmine A Robertson | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-08-19 |
| 1568072072 | Kathleen Lolley Ramsey | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-08-10 |
| 1174141451 | Shamiah Evans | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-13 |
| 1083232342 | Lauren Peak | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-07-13 |
| 1750909594 | Halley Claire Blanchard | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-08 |
| 1699393751 | Carmen A Cavin | Behavior Technician | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2020-07-06 |
| 1588282644 | Lydia Jonae Mitzel | Behavior Technician | 32 Millbranch Rd, Hattiesburg, MS 39402-1672 | 2020-07-06 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.