Active NPI
Myka Soucy
- Behavior Technician
- Buckeye, AZ
National Provider Identifier
1124954698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 19745 W Encanto Blvd
Buckeye, AZ 85396-5626 - Phone
- (602) 930-9245
- NPI assigned
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AZ | Primary |
Addresses
Primary practice location
19745 W Encanto Blvd
Buckeye, AZ 85396-5626
Mailing address
19745 W Encanto Blvd
Buckeye, AZ 85396-5626
Phone (602) 930-9245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1124954698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19745 W ENCANTO BLVD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853965626",
"telephone_number": "602-930-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19745 W ENCANTO BLVD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853965626",
"telephone_number": "602-930-9245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "MYKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.