Individual provider Active NPI

Elizabeth Byers McKenzie

  • Behavior Analyst
  • Niceville, FL
National Provider Identifier
1295379097
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-69361 Issued in AL
Practice address
80 College Blvd E
Niceville, FL 32578-1343
Phone
(850) 279-3000
NPI assigned
Nov 5, 2019
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
19-99438ALMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care ABA Ga LLC Behavior Analyst Past Accepting new patients
Emerald Coast Autism Center PastSince Nov 12, 2023 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.

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.

Verify at the official NPI Registry.