Most Relevant Information
Provider Data
| NPI Number: | 1003558883 |
| Provider Name: | MAKAYLA EARLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-209681 |
Most Important Dates
| Enumeration Date: | 04/11/2022 |
| Last Updated: | 04/12/2022 |
Provider Practice Location
709 W BROAD ST
FORNEY
TX
751269148
Practice Location Phone/Fax
| Phone: | 4694589021 |
| Fax: |
Provider Mailing Location
911 N GOLIAD ST
ROCKWALL
TX
750872230
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |