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Mackenzie Nicodemus
NPI 1396335212 · Behavior Technician · Navarre, FL
Mackenzie Nicodemus is a Behavior Technician provider in Navarre, FL (NPI 1396335212).
Provider details
- NPI number
- 1396335212
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7552 Navarre Pkwy Unit 36
Navarre, FL 32566-7309
Phone: (850) 607-6910
Fax: (850) 607-6932
Street-level locationGet directions
Mailing address
7552 Navarre Pkwy Unit 36
Navarre, FL 32566-7309
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Frequently asked questions
- What is Mackenzie Nicodemus's NPI number?
- Mackenzie Nicodemus's National Provider Identifier (NPI) is 1396335212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Nicodemus's specialty?
- Mackenzie Nicodemus is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mackenzie Nicodemus located?
- Mackenzie Nicodemus's practice location on file with NPPES is 7552 Navarre Pkwy Unit 36, Navarre, FL 32566-7309.
- What is Mackenzie Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Nicodemus is (850) 607-6910.
- Is Mackenzie Nicodemus's NPI active?
- Yes — Mackenzie Nicodemus's NPI (1396335212) is active in the NPPES registry as of the last update on 2021-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.