Makenzie Douglas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3416 S Dixon Rd Ste B
Kokomo, IN 46902-5644

Phone

(765) 210-1284

NPI assigned

Jan 10, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Behavioral Servies, LLC

  • Behavior Analyst
  • Kokomo, IN
  • NPI 1871088369
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1285444372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 S DIXON RD STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 S DIXON RD STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025644",
            "telephone_number": "765-210-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MAKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "BACB1213781",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "catalyst",
            "affiliation": "Y",
            "affiliationName": "Hope Behavioral Services, LLC",
            "address_1": "719 Spencer St",
            "city": "Logansport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469473583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "catalyst",
            "affiliation": "Y",
            "affiliationName": "Hope Behavorial Services, LLC",
            "address_1": "719 Spencer St",
            "city": "Logansport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469473583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Doran, RBT
• Madison Grace Dormer
• Whitney Dotson, RBT
• Hannah Doubet
• Angaleta Double, RBT
• Rebecca Douglas, NP
• Leslie As Douglass, LCSW
• Rachel Douglass, RBT
• James Downing, M.D.
• Amber Dreibelbis, RBT

• Behavior Technician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.