Mackenzie Leigh Trueblood, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5005 Issued in TX

Practice address

8570 Sienna Springs Blvd Ste a
Missouri City, TX 77459

Phone

(346) 450-8600

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1447994512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 TRADEWINDS DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592328",
            "telephone_number": "636-248-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 SIENNA SPRINGS BLVD STE A",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "346-450-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "MACKENZIE",
        "middle_name": "LEIGH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.