Provider Demographics
NPI:1538844899
Name:MACKINS, EMIKO
Entity type:Individual
Prefix:MISS
First Name:EMIKO
Middle Name:
Last Name:MACKINS
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 1:1800 WESTWIND DR STE 403
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3032
Mailing Address - Country:US
Mailing Address - Phone:916-365-6285
Mailing Address - Fax:
Practice Address - Street 1:5101 MARSHA ST APT 176
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2627
Practice Address - Country:US
Practice Address - Phone:661-600-3229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician