MEDICARE: MICHAELA MCCAY

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	103K00000X	Behavior Analyst	1-26-87573	NY

General Provider Information

NPI Number	:	1356063606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA MCCAY

Provider Business Mailing Address
First Line	:	485 SUNSET DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-4231
Country	:	US
Telephone Number	:	978-578-6464
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 SUNSET DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-4231
Country	:	US
Telephone Number	:	716-205-6040
Fax Number	:

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

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	03/06/2026

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