Provider Demographics
NPI:1053751438
Name:MCGEE, MARY-CASEY (BCBA, LMSW, MS)
Entity type:Individual
Prefix:MS
First Name:MARY-CASEY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:BCBA, LMSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 COURTLAND CIR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3226
Mailing Address - Country:US
Mailing Address - Phone:469-426-6081
Mailing Address - Fax:
Practice Address - Street 1:2101 COURTLAND CIR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3226
Practice Address - Country:US
Practice Address - Phone:469-426-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52739104100000X
TX1-14-16405103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker