King, Mackayla

King, Mackayla is an individual health care provider with primary practice located at 6836 Isaac'S Orchard Rd , Springdale AR 72762. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. King, Mackayla can be contacted via phone (479) 927-4100.

Contact Information

Primary practice address
6836 Isaac'S Orchard Rd Springdale AR 72762
Phone: (479) 927-4100
Fax: (479) 927-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arkansas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-58618 Arkansas

Profile Details

NPI number 1174155006
LBN Legal business name King, Mackayla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2020
Last updated Feb 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174155006 NPPES
Other 236454795 MEDICAID PIN
MEDICAID 232692706 MEDICAID PIN

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