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Mackenzie Hicks , BCBA

Behavior Analyst β€’ Defuniak Springs, FL

Active NPI 1619613007 Individual Practitioner Female Practitioner
Practice location in NPPES

355 E Nelson Ave
Defuniak Springs, FL 324337426

Call 8509510031 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

355 E Nelson Ave

Defuniak Springs, FL 324337426

Telephone 8509510031
Organization at the Same NPPES Address or Phone
Canopy Behavior Solutions, Llc Facility NPI 1720533268

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Defuniak Springs and Florida

14 active clinicians are listed under Behavior Analyst with a practice address in Defuniak Springs, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Defuniak Springs

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-25-81675

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 10, 2025

Registered at 355 E NELSON AVE, DEFUNIAK SPRINGS, FL 324337426 (Tel: 8509510031)

πŸ‘€
Provider Name / Credentials Updated September 10, 2025

Recorded as MACKENZIE HICKS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2025

Behavior Analyst (license number reported to NPPES: FL 1-25-81675)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2024

Assistant Behavior Analyst (license number reported to NPPES: FL 0-23-14794)

βœ…
NPI Profile Active May 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 09, 2022

Registered at 1846 US HIGHWAY 90 W STE B, DEFUNIAK SPRINGS, FL 324331408 (Tel: 8509510031)

πŸ“
Business Mailing Address (Initial Record) May 09, 2022

Registered at 539 FANNY ANN WAY, FREEPORT, FL 324397613 (Tel: 8508657297)

πŸ‘€
Provider Name / Credentials (Initial Record) May 09, 2022

Recorded as MACKENZIE HICKS, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619613007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2022
Last Update: September 10, 2025
Sole Proprietor: No

Mailing Address

539 Fanny Ann Way

Freeport, FL 324397613

Phone: 8508657297

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.