Breanna Louise Mackenzie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2525 Date St Apt 4207
Honolulu, HI 96826-5434

Phone

(808) 343-5353

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1962086975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 DATE ST APT 4207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265434",
            "telephone_number": "808-343-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DATE ST APT 4207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265434",
            "telephone_number": "808-343-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "BREANNA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Machigashira
• Tatiana Tibisai Macias, LMHC
• Simone I. Maciejewski, PSYD
• George S Mackel, PMHNP
• Mackenzie Howard LLC
• Frankie Mackenzie
• Kimberly Mackesy
• Margaret-Anne Mackintosh, PH.D.
• Jennifer P Maclean, MS
• Andrea K. Macleod, PHARM.D.

• Behavior Technician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.