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NPI Code Detail

MEDICARE: MAKAYLA MCILVEE LBS, BCBA

MEDICARE: MAKAYLA MCILVEE LBS, BCBA
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
1103K00000XBehavior Analyst1-24-77717PA

General Provider Information

NPI Number : 1942097068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLA MCILVEE LBS, BCBA
Provider Business Mailing Address
First Line : 133 BERTOLET MILL RD
Second Line :
City : OLEY
State : PA
Zip : 19547-8740
Country : US
Telephone Number : 484-797-6820
Fax Number :
Provider Business Practice Location Address
First Line : 101 E 8TH AVE STE 303
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-1774
Country : US
Telephone Number : 267-226-6875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2025
Last Update Date : 04/22/2025

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