Active NPI
Makenzie Leigh Jackson Echeverry, BCBA
- Behavior Analyst
- Abilene, TX
National Provider Identifier
1902329014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3669
- Practice address
- 23 Hospital Dr Ste 102
Abilene, TX 79606-5270 - Phone
- (325) 793-5497
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3669 | TX | Primary |
Addresses
Primary practice location
23 Hospital Dr Ste 102
Abilene, TX 79606-5270
Mailing address
23 Hospital Dr Ste 102
Abilene, TX 79606-5270
Phone (325) 238-9337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3669 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1902329014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HOSPITAL DR STE 102",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065270",
"telephone_number": "325-238-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HOSPITAL DR STE 102",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065270",
"telephone_number": "325-793-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON ECHEVERRY",
"first_name": "MAKENZIE",
"middle_name": "LEIGH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.