MEDICARE: MAKAYLA STANLEY

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
1	106S00000X	Behavior Technician	RBT-19-87004	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-19-87004	OTHER	VA	REGISTERED BEHAVIOR TECHNICIAN

General Provider Information

NPI Number	:	1740848357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKAYLA STANLEY

Provider Business Mailing Address
First Line	:	1500 S DOUGLAS RD STE 230
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4108
Country	:	US
Telephone Number	:	844-854-1116
Fax Number	:	305-846-9711

Provider Business Practice Location Address
First Line	:	5265 PROVIDENCE RD STE 504
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4210
Country	:	US
Telephone Number	:	844-854-1116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	11/04/2020

Similar Medicare Providers

1770303737 — ALICIA JEAN COOPER PMHNP-BC
Practice Location Address:

5265 PROVIDENCE RD STE 500
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 757-467-9500
Practice Fax: 757-467-9560

1952450421 — DR. GREGG M BOAZ D.C.
Practice Location Address:

5265 PROVIDENCE RD STE 503
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 757-523-1111
Practice Fax: 757-523-4653

1811239775 — ZELITHEA HAYES
Practice Location Address:

5265 PROVIDENCE RD STE 506
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 757-313-8800
Practice Fax: 757-313-8801

1023412327 — ALLISON KIM BCBA
Practice Location Address:

5265 PROVIDENCE RD STE 504
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 844-854-1116
Practice Fax:

1811499544 — YOLANDA JORDAN
Practice Location Address:

5265 PROVIDENCE RD STE 504
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 844-244-1818
Practice Fax:

1063060945 — JESSICA CAROLYN GOODRICH
Practice Location Address:

5265 PROVIDENCE RD STE 504
VIRGINIA BEACH, VA
23464-4210

Practice Phone: 978-735-9257
Practice Fax:

Directions to “ MAKAYLA STANLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.