Makayla Agee
Individual provider Active NPI Behavior Technician · Greenwood, IN
NPI 1689489239 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1689489239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 21 S Park Blvd Ste 21
Greenwood, IN 46143-8838 - Phone
- (317) 449-2104
- NPI assigned
- Feb 11, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
21 S Park Blvd Ste 21
Greenwood, IN 46143-8838
Mailing address
3500 Depauw Blvd
Indianapolis, IN 46268-1170
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All providers in Greenwood, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.