Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Bly

Individual provider Behavior Technician · NPI 1639833684

Mackenzie Bly is a Behavior Technician in Jacksonville, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1021 Hargett St
Jacksonville, NC 28540-5924
Phone: (704) 572-3810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1639833684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2021
Last updated in NPPESNovember 21, 2023
Certification dateNovember 9, 2023
Mailing address1021 Hargett St, Jacksonville, NC 28540-5924

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