Mackenzie C. Pass

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12041895 Issued in GA

Practice address

2651 Dallas Hwy SW
Marietta, GA 30064-2541

Phone

(678) 486-1904

NPI assigned

Mar 16, 2020

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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
  • Marietta, GA
  • NPI 1790245173

  Behavior Analyst

  NPD (past)
• Keeping It Specially Simple

  • Speech-Language Pathologist
  • Sandy Springs, GA
  • NPI 1841732633
  NPD (past)
• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1710513304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 JASMINE PKWY # 128",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221684",
            "telephone_number": "404-536-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 DALLAS HWY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642541",
            "telephone_number": "678-486-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "MACKENZIE",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "12041895",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "12041895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Partin, DC
• Ryan Paruta, DPT
• Serena Nichole Pascal, NP
• Carrie Pascale
• Beth S. Pascaner, D.D.S.
• Kellie Passafiume, RBT
• Passion 4 Purpose Home Care
• Passport Health Holdings, LLC (Passport Health)
• Cynthia Ann Pastorino, ARNP
• Sarah Pastrana

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.