Mackenzie Hamilton

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-70511 Issued in AR

Practice address

2323 W Chestnut St Ste 6
Rogers, AR 72756-3520

Phone

(479) 346-5459

NPI assigned

May 27, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrics Plus Therapy Services, LLC

  • Developmental Disabilities Clinic/Center
  • Conway, AR
  • NPI 1134277320
  NPD (past)
• Pediatrics Plus Therapy Services, LLC

  • Developmental Disabilities Clinic/Center
  • Conway, AR
  • NPI 1346898939
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1972179216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W CHESTNUT ST STE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563520",
            "telephone_number": "479-346-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W CHESTNUT ST STE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563520",
            "telephone_number": "479-346-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-24-70511",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Isaac Haigwood, ABSN STUDENT
• Jeanne Elizabeth Hale, SLP
• Christopher Andrew Hall, M.D.
• Molly Bell Hall, DDS
• Sarah Hallmann
• Alexis Hamlin
• Lee Todd Hammon, CRNA
• Elizabeth Jane Hammons, LAC
• Hampton Health and Rehab, LLC
• Hampton Place Healthcare, LLC

• Behavior Analyst in Rogers, AR
• Providers in Rogers, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.