Individual
MAKENZIE W. BAYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA-D
Contact information
Practice address
700 PELHAM RD N, JSU - PSYCHOLOGY DEPARTMENT, JACKSONVILLE, AL 36265-1602
(256) 782-5809
Mailing address
700 PELHAM RD N, JSU - PSYCHOLOGY DEPARTMENT, JACKSONVILLE, AL 36265-1602
(256) 782-5809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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