MEDICARE: MS. KAYLEE MACKENZIE MYERS MA, BCBA, LBA

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	10036	TX

General Provider Information

NPI Number	:	1952996167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAYLEE MACKENZIE MYERS MA, BCBA, LBA

Provider Business Mailing Address
First Line	:	724 E US HIGHWAY 80 STE 200
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-8720
Country	:	US
Telephone Number	:	972-928-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 E US HIGHWAY 80 STE 200
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-8720
Country	:	US
Telephone Number	:	972-928-0054
Fax Number	:

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

Provider Enumeration Date	:	03/09/2021
Last Update Date	:	04/08/2026

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