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Mackenzie Wallace

Behavior Analyst β€’ Conroe, TX

Active NPI 1225594898 Individual Practitioner Female Practitioner
Practice location in NPPES

1932 Briar Grove Dr
Conroe, TX 773012052

Call 5628257025 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

1932 Briar Grove Dr

Conroe, TX 773012052

Telephone 5628257025

NPI first issued

2019

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 Conroe and Texas

35 active clinicians are listed under Behavior Analyst with a practice address in Conroe, TX (5,843 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conroe

0% of these 35 clinicians have the CMS telehealth indicator.

0% of these 35 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: 2023-06-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-20-41389

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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 14, 2023

Recorded as MACKENZIE WALLACE

πŸ“
Updated Practice Location August 31, 2022

Registered at 1932 BRIAR GROVE DR, CONROE, TX 773012052 (Tel: 5628257025)

πŸ“
Updated Business Mailing Address August 31, 2022

Registered at 1932 BRIAR GROVE DR, CONROE, TX 773012052 (Tel: 5628257025)

πŸ‘€
Provider Name / Credentials Updated August 31, 2022

Recorded as MACKENZIE CAYETANO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2022

Behavior Analyst (license number reported to NPPES: CA 1-20-41389)

βœ…
NPI Profile Active February 19, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 19, 2019

Registered at 12443 LEWIS ST STE 201, GARDEN GROVE, CA 928404650 (Tel: 7147484440)

πŸ“
Business Mailing Address (Initial Record) February 19, 2019

Registered at 12443 LEWIS ST STE 201, GARDEN GROVE, CA 928404650 (Tel: 7147484440)

πŸ‘€
Provider Name / Credentials (Initial Record) February 19, 2019

Recorded as MACKENZIE WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 19, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225594898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2019
Last Update: June 14, 2023
Sole Proprietor: No

Mailing Address

1932 Briar Grove Dr

Conroe, TX 773012052

Phone: 5628257025

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.