Individual provider · Type 1 NPI

Mackenzie R. Blackwell

Assistant Behavior Analyst · Bossier City, LA

NPI number 1528945839 Active

Practice location

6799 E Texas St
Bossier City, LA 71111-6931

Fax (318) 616-2336

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XC-179 (LA)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1528945839

Mackenzie R. Blackwell's National Provider Identifier is 1528945839, issued on Aug 19, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Bossier City, LA. The record was last updated on Aug 19, 2025.