MISS MCKENZIE REBEKAH BOLAND
NPI 1407504541
Behavior Analyst in Jonesboro, GA

Q: What is Mckenzie Boland's NPI number?

The NPI number for Mckenzie Boland is 1407504541. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Q: What is Mckenzie Boland's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Boland was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2022

259 ARROWHEAD BLVD, JONESBORO, GA 30236(877) 299-1655 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Aug 22, 2024, Jan 10, 2023 and 1 more (4 updates tracked since 2023).

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About Miss Mckenzie Rebekah Boland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MCKENZIE REBEKAH BOLAND (NPI 1407504541) is an individual behavior analyst provider in Jonesboro, Georgia, licensed in Georgia (1-24-74884) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1407504541

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMISS MCKENZIE REBEKAH BOLAND

Location Address259 ARROWHEAD BLVDJonesboro, GA 30236-1167

Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · (877) 299-1655

Phone(877) 299-1655

Sole ProprietorNo

Enumeration DateMarch 17, 2022

Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1407504541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in GA · 1-24-74884

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

259 ARROWHEAD BLVD, Jonesboro, GA 30236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Behavior Analyst