Active NPI
McKenzie Mann
- Behavior Technician
- Troy, AL
National Provider Identifier
1225804644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1010597
- Practice address
- 1018 S Brundidge St
Troy, AL 36081-3148 - Phone
- (334) 792-5020
- NPI assigned
- Nov 27, 2023
- 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 | BACB1010597 | AL | Primary |
Addresses
Primary practice location
1018 S Brundidge St
Troy, AL 36081-3148
Mailing address
1018 S Brundidge St
Troy, AL 36081-3148
Phone (334) 792-5020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Endpoint | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1010597 | AL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1225804644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 S BRUNDIDGE ST",
"city": "TROY",
"state": "AL",
"postal_code": "360813148",
"telephone_number": "334-792-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 S BRUNDIDGE ST",
"city": "TROY",
"state": "AL",
"postal_code": "360813148",
"telephone_number": "334-792-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "MCKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": "BACB1010597",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Endpoint",
"affiliation": "N",
"endpointDescription": "info@abaassociate.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1018 S Brundidge St",
"city": "Troy",
"state": "AL",
"country_code": "US",
"postal_code": "360813148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.