Whalio Doctors

NPI 1528945839

Mackenzie R Blackwell

Practitioner Assistant Behavior Analyst Bossier City, LA

Practice location

Address
6799 E Texas St, Bossier City, LA 71111-6931
Phone
(318) 616-2336
Fax
(318) 616-2336

Registered specialties

Assistant Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence C-179 (LA)

Registry record

NPI
1528945839
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Aug 2025
Record last updated
19 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.