Makenna Bogen
Individual provider Active NPI Behavior Technician · Great Falls, MT
NPI 1104581172 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1104581172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1601 2ND Ave N
Great Falls, MT 59401-3259 - Phone
- (062) 402-0454
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1601 2ND Ave N
Great Falls, MT 59401-3259
Mailing address
1611 Highland Dr
Placerville, CA 95667-3607
Other providers in Great Falls, MT
- Kelsey A. Bock
- Kim Bodily
- Ryan Boer
- Boes Eye Care
- David A Boes
- Jeanie Bohall
- Robert Kelly Bohannon
- David C Boharski
- Kathryn Lynnette Bohks
- Cody Wayne Bohlke
All providers in Great Falls, MT · Behavior Technician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.