Provider Demographics
NPI:1689453177
Name:MACIEL, NATALIE ANDREA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANDREA
Last Name:MACIEL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:ANDREA
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:525 E 21ST ST APT 129
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-3882
Mailing Address - Country:US
Mailing Address - Phone:504-442-1030
Mailing Address - Fax:
Practice Address - Street 1:202 W HARRISON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-1303
Practice Address - Country:US
Practice Address - Phone:985-503-2412
Practice Address - Fax:504-553-1113
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-780103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst