Mackenzie Juanita Bowers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62520 Issued in AL

Practice address

1820 Southpark Dr
Hoover, AL 35244-2094

Phone

(205) 961-4726

Fax

(317) 520-8200

NPI assigned

May 16, 2018

Last updated

Nov 21, 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

Practice roles

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.

• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Hoover, AL
  • NPI 1366194458

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1508356320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 109TH CT NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349139",
            "telephone_number": "360-829-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SOUTHPARK DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442094",
            "telephone_number": "205-961-4726",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 112th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042993",
            "country_code": "US",
            "telephone_number": "425-643-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MACKENZIE",
        "middle_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-22-62520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Westbrook Boliek, MA, LPC, NCC
• Anthony J Bolus, PHARMD
• Tarik Bou Bouakar
• Chloe Eve Bourassa
• William Brook Bowden, PHARM. D
• William L Box, R.PH.
• Cain Boxx
• Beth Boyar
• Edwyn Lee Boyd, M.D.
• Kiley T Boyd

• Behavior Analyst in Hoover, AL
• Providers in Hoover, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.