Mackenzie Raena Bartoli, BCBA
Individual provider Active NPI Behavior Analyst · Zeeland, MI
NPI 1982113270 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1982113270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 126 E Main Ave
Zeeland, MI 49464-1736 - Phone
- (616) 970-4172
- NPI assigned
- Sep 29, 2017
- 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 |
|---|---|---|---|
| Hope Discovery ABA Services, LLC | Behavior Analyst | Current |
Accepting new patients |
Locations
201 Royal Park Dr
Zeeland, MI 49464
Phone (616) 741-9466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MI | Yes |
Addresses
Primary practice location
126 E Main Ave
Zeeland, MI 49464-1736
Mailing address
201 Royal Park Dr
Zeeland, MI 49464-2040
Phone (616) 970-4172
Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. 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.