Makenzy Mary Margaret Thomas, RBT
Individual provider Active NPI Behavior Technician · Greenbrier, TN
NPI 1992404255 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1992404255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-260286 (TN)
- Practice address
- 4005 Sawney Dr
Greenbrier, TN 37073-5916 - Phone
- (615) 483-6815
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-260286 | TN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-260286 | TN | Yes |
Addresses
Primary practice location
4005 Sawney Dr
Greenbrier, TN 37073-5916
Mailing address
4005 Sawney Dr
Greenbrier, TN 37073-5916
Phone (615) 483-6815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-23-260286 | Other | TN | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
Other providers in Greenbrier, TN
- Kristina Opal Protzman
- Providence Medical Clinic LLC
- RHC Group PLLC
- Naomi Theresa Sawyers
- Lori Suggs
- Amy Walter
- Jennifer Washburn
- Misty A Williamson
All providers in Greenbrier, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 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.