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NPI Code Detail

MEDICARE: MAKAYLA RENEE LOCKARD

MEDICARE: MAKAYLA RENEE LOCKARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician106S00000XCA

General Provider Information

NPI Number : 1205768652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLA RENEE LOCKARD
Provider Business Mailing Address
First Line : 700 FREDERICK ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 844-322-7483
Fax Number : 888-334-7021
Provider Business Practice Location Address
First Line : 700 FREDERICK ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 844-322-7483
Fax Number : 888-334-7021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ MAKAYLA RENEE LOCKARD ” Practice Location

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