Healthcare Provider Details

I. General information

NPI: 1275479461
Provider Name (Legal Business Name): MAKAYLIN IRENE SIZEMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FRANDORSON CIR STE 4234
APOLLO BEACH FL
33572-2648
US

IV. Provider business mailing address

5536 BLUE AZURE DR
WIMAUMA FL
33598-4187
US

V. Phone/Fax

Practice location:
  • Phone: 813-324-5523
  • Fax:
Mailing address:
  • Phone: 786-547-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: