Makenzie Lynn Bates

Individual provider Active NPI Behavior Technician · Sioux City, IA

NPI 1528895414 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1528895414
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4280 Sergeant Rd
Sioux City, IA 51106-4611
Phone
(515) 207-5251
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4280 Sergeant Rd
Sioux City, IA 51106-4611

Mailing address

4280 Sergeant Rd
Sioux City, IA 51106-4611
Phone (515) 207-5251

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address info@stridecenters.com

Other providers in Sioux City, IA

All providers in Sioux City, IA · Behavior Technician in Iowa

Sources for this page

Verify at the official NPI Registry.