Mackenzie H Poulos, BCBA
Behavior Analyst in Essex, Massachusetts
1508618125- Practice location
- 156 Eastern Ave, Essex, MA 01929-1328
- Phone
- 774-573-1473
- Fax
- —
- Last updated
- April 5, 2024
Mackenzie Holly Poulos is a Behavior Analyst based in Essex, MA. Mackenzie Holly Poulos practices in Essex, MA and has the professional credentials of BCBA. The NPI Number for Mackenzie Holly Poulos is 1508618125 and holds a License No. 1-15-18929 (MA). The current practice location address for Mackenzie Holly Poulos is 156 Eastern Ave, Essex, MA 01929-1328 and can be reached out via phone at 774-573-1473.
Provider Profile Details
- NPI Number
- 1508618125
- Provider Name
- Mackenzie Holly Poulos
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 156 Eastern Ave, Essex, MA 01929-1328
- Phone Number
- 774-573-1473
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2024
- Last Update Date
- April 5, 2024
- Certification Date
- April 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 156 Eastern Ave
Essex, MA 01929-1328 - City
- Essex
- State
- Massachusetts
- Zip
- 01929-1328
- Phone Number
- 774-573-1473
Provider Business Mailing Address Details
- Address
- 156 Eastern Ave
Essex, MA 01929-1328 - City
- Essex
- State
- MA
- Zip
- 01929-1328
- Phone Number
- 774-573-1473
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 1-15-18929
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Essex, MA
View all Behavior Analysts in Essex →- Dr. Kathleen A Quill, BCBA-DBehavior Analyst · NPI 1013544642
- Christiana E Ostrowski, LCSWSocial Worker, Clinical · NPI 1952210270
- Deborah S Mindnich, RNCSClinical Nurse Specialist, Psych/Mental Health · NPI 1740350743
- Dr. James A Manganiello, EDDPsychologist · NPI 1003997073
- Dr. Charles N Moore Jr., DMINPsychologist, Family · NPI 1104988500
- Mrs. Joellen M Falk, LICSWSocial Worker, Clinical · NPI 1922433564
Frequently Asked Questions
What is the NPI number of Mackenzie H Poulos, BCBA?
The NPI number of Mackenzie H Poulos, BCBA is 1508618125. It was assigned on April 5, 2024 and is currently active in the NPPES registry.
What is the specialty of Mackenzie H Poulos, BCBA?
Mackenzie H Poulos, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-15-18929.
Where does Mackenzie H Poulos, BCBA practice?
The practice location is 156 Eastern Ave, Essex, MA 01929-1328. The office can be reached at 774-573-1473 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508618125 directly on the NPPES registry website.