Mackenzie Bangs, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

ABA-B-10216826 Issued in OR

Practice address

7800 SW Barbur Blvd BLDG 2
Portland, OR 97219-2823

Phone

(818) 241-6780

Fax

(800) 819-7806

NPI assigned

Jan 10, 2019

Last updated

Apr 15, 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 2

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1487127692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746075",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW BARBUR BLVD BLDG 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192823",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751803",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGS",
        "first_name": "MACKENZIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10216826",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Mia Bang, RN
• Martin Bang, LAC
• Sarah Sharaf Banger, PMHNP
• Alexandria Bangert, LPC
• Stephanie Bangerter
• Sierra Bangs
• Alicia Banister
• Larissa Marie Banitt
• Marianne Munch Banke, L.AC.
• Megan A Banker, D.C.

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.