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MACKENZIE R BLACKWELL

Active Sole Proprietor

MACKENZIE R BLACKWELL is a Assistant Behavior Analyst healthcare provider located in BOSSIER CITY, Louisiana. NPI 1528945839 is currently active in the NPPES registry. Verify at CMS.

Assistant Behavior Analyst · BOSSIER CITY, LA

Registration Details

NPI Number
1528945839
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2025 (0.94242634265208 yrs)
Last Updated
Aug 19, 2025
License
C-179 (LA)
Sole Proprietor
Yes

Practice Information

Address
6799 E TEXAS ST
BOSSIER CITY, LA, 711116931
Browse LA providers · Browse ZIP 71111
Phone
3186162336
Fax
3186162336
Primary Specialty
Assistant Behavior Analyst
106E00000X

Other Assistant Behavior Analyst Providers in BOSSIER CITY, LA

Name Credential NPI
MADISON VLAHAKIS BOYDSTUN 1942800172
CAROLINE BRIDGES BCABA 1215538970
HAYLEE JEAN KUSTER 1053200147
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.