Maykenzie Inez South

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in CA

Practice address

11624 Tyler Foote Rd
Nevada City, CA 95959-9310

Phone

(530) 615-1180

NPI assigned

Jun 12, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1710812763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11624 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11624 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599310",
            "telephone_number": "530-615-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "MAYKENZIE",
        "middle_name": "INEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "103K00000X",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "106E00000X",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Smith
• Emmitt Yves Smith
• Shahni Smith
• Stefanie Smith, M.S.
• Paul Snyder, PT
• Yvonne Marie Souza
• Joseph Frank Sowa III
• Jenene Louise Sowell
• St Moritz Medical Center Inc
• Leslie Stager, RN

• Behavior Technician in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.