Active NPI
Elizabeth Byers McKenzie
- Behavior Analyst
- Niceville, FL
National Provider Identifier
1295379097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-69361
- Practice address
- 80 College Blvd E
Niceville, FL 32578-1343 - Phone
- (850) 279-3000
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-69361 | AL | Primary |
| Behavior Technician | 106S00000X | 19-99438 | AL |
Addresses
Primary practice location
80 College Blvd E
Niceville, FL 32578-1343
Mailing address
208 S Hillcrest Blvd
Troy, AL 36081-1632
Phone (334) 482-1174
Other practice location 1
1566 Andrews Ave
Ozark, AL 36360-3718
Phone (855) 432-2543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | office@drtuckerassociatesinc.onmicrosoft.com |
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 |
|---|---|---|---|
| 19-99438 | AL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care ABA Ga LLC | Behavior Analyst | Past | Accepting new patients |
| Emerald Coast Autism Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Niceville, FL
- NPI 1972030617
-
- Behavior Analyst
- Fayetteville, GA
- NPI 1457930471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1295379097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S HILLCREST BLVD",
"city": "TROY",
"state": "AL",
"postal_code": "360811632",
"telephone_number": "334-482-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 COLLEGE BLVD E",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781343",
"telephone_number": "850-279-3000"
}
],
"practiceLocations": [
{
"address_1": "1566 Andrews Ave",
"address_purpose": "LOCATION",
"city": "Ozark",
"state": "AL",
"postal_code": "363603718",
"country_code": "US",
"telephone_number": "855-432-2543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENZIE",
"first_name": "ELIZABETH",
"middle_name": "BYERS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "1-23-69361",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": "19-99438",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "office@drtuckerassociatesinc.onmicrosoft.com",
"affiliation": "N",
"address_1": "1566 Andrews Ave",
"city": "Ozark",
"state": "AL",
"country_code": "US",
"postal_code": "363603718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.