Makenna Hope Drummond
Individual provider Active NPI Behavior Technician · Mims, FL
NPI 1285344838 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1285344838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-247371 (FL)
- Practice address
- 5210 US Highway 1
Mims, FL 32754-4821 - Phone
- (321) 290-0830
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-247371 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-247371 | FL | Yes |
Addresses
Primary practice location
5210 US Highway 1
Mims, FL 32754-4821
Mailing address
5210 US Highway 1
Mims, FL 32754-4821
Phone (321) 289-9212
Other providers in Mims, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 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.