Provider Demographics
NPI:1245103639
Name:TOWNE, MAKAYLA SHAREE
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:SHAREE
Last Name:TOWNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SPRUCE BRK APT 11
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-9635
Mailing Address - Country:US
Mailing Address - Phone:802-753-8492
Mailing Address - Fax:
Practice Address - Street 1:67 SPRUCE BRK APT 11
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-9635
Practice Address - Country:US
Practice Address - Phone:802-753-8492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician