Healthcare Provider Details
I. General information
NPI: 1205446234
Provider Name (Legal Business Name): MAKAYLA LOFINK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 S FAIRFAX AVE FL 2
LOS ANGELES CA
90036-2166
US
IV. Provider business mailing address
600 STEWART ST STE 300
SEATTLE WA
98101-1257
US
V. Phone/Fax
- Phone: 855-832-6727
- Fax: 772-675-9100
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-26-89463 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | AB61520365 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: