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MCKENZIE LEE REILLY, MA, BCBA, LBA

Deactivated Sole Proprietor

MCKENZIE LEE REILLY, MA, BCBA, LBA is a Behavior Analyst healthcare provider located in SHELTON, Connecticut. NPI 1073169009 is deactivated in the NPPES registry. Verify at CMS.

Behavior Analyst · SHELTON, CT

This NPI has been deactivated. The record was deactivated on October 21, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1073169009
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2019 (5.1835616438356 yrs)
Last Updated
Nov 5, 2024
Deactivated
Oct 21, 2024
License
1-24-76102 (CT)
Sole Proprietor
Yes

Practice Information

Address
10 PROGRESS DR STE 2B
SHELTON, CT, 064846294
Browse CT providers · Browse ZIP 06484
Phone
4752395512
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in SHELTON, CT

Name Credential NPI
MS. BRITTANY STEINER 1851724454
MR. DONALD SEIPEL 1235682766
SARAH WISLOCKI BCBA 1427573419
LISA FERRENTINO BCBA 1861985681
KAYLENE TARA BURNS 1588221378
BRITTANY HAY BCBA 1336794445
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.