McKenna D Carson, RBT
Individual provider Active NPI Behavior Technician · Newhall, CA
NPI 1861032641 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1861032641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-93433
- Practice address
- 23240 Lyons Ave
Newhall, CA 91321-2633 - Phone
- (760) 282-8081
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Behavioral Associates, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-93433 | Yes |
Addresses
Primary practice location
23240 Lyons Ave
Newhall, CA 91321-2633
Mailing address
23240 Lyons Ave
Newhall, CA 91321-2633
Phone (760) 282-8081
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-93433 | Other | RBT |
Other providers in Newhall, CA
- Leena Cantwell
- Canyon Urgent Care
- Cherokee Cardriche
- Carlos Henao DDS Inc
- Caroline M. Crisol, LMFT Inc
- Latoya K Carty
- Garrett M Casey
- Dovia Castro-Jara
- Victoria Anne Catlin-Walton
- CC Care RX Inc
All providers in Newhall, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. 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.