Layla McDonald

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-203322

Practice address

2404 Ruth Hentz Ave BLDG B
Panama City, FL 32405-2258

Phone

(850) 628-1713

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1992450464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 RUTH HENTZ AVE BLDG B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052258",
            "telephone_number": "850-628-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 RUTH HENTZ AVE BLDG B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052258",
            "telephone_number": "850-628-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-203322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gulfcoastautismclinic.com",
            "affiliation": "Y",
            "affiliationName": "Gulf Coast Autism Clinic, LLC",
            "address_1": "2404 Ruth Hentz Ave Bldg B",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324052258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Nicole McDonald, CNA/MEDTECH/PHLEBTOM
• Bobbilee L McDonald, PA-C
• Bruce George McDonald, D.O.
• Jessica McDonald
• Katherine Mary McDonald, ARNP
• Tommy R McDonald Jr.
• Sydney McFalls
• Brianna Nicole McGowan, APRN
• Brylecia McGowan
• Pamela S McGowen, ARNP

• Behavior Technician in Panama City, FL
• Providers in Panama City, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.