Individual provider Active NPI

Makenna Jane Cooley

  • Assistant Behavior Analyst
  • Lutz, FL
National Provider Identifier
1497454714
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
02516142 Issued in FL
Practice address
4005 Ambergris Dr Apt 213
Lutz, FL 33559-6956
Phone
(920) 492-9553
NPI assigned
Feb 24, 2023
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 02516142 FL Primary
Behavior Technician 106S00000X RBT-23-259878 FL

Addresses

Primary practice location

4005 Ambergris Dr Apt 213
Lutz, FL 33559-6956

Mailing address

4005 Ambergris Dr Apt 213
Lutz, FL 33559-6956
Phone (920) 492-9553

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
02516142FLMDAssistant Behavior Analyst
RBT-23-259878FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt & Transform Behavior LLC PastSince Sep 21, 2025 Accepting new patients
Adapt & Transform Behavior LLC PastSince Sep 21, 2025 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": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1497454714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 AMBERGRIS DR APT 213",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596956",
            "telephone_number": "920-492-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 AMBERGRIS DR APT 213",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596956",
            "telephone_number": "920-492-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MAKENNA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02516142",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-259878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.