Provider Demographics
NPI:1417731258
Name:RANKINS, MAKAYLAH DEAN
Entity Type:Individual
Prefix:
First Name:MAKAYLAH
Middle Name:DEAN
Last Name:RANKINS
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 1:138 COTTONWOOD CMN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2007
Mailing Address - Country:US
Mailing Address - Phone:510-994-1439
Mailing Address - Fax:
Practice Address - Street 1:138 COTTONWOOD CMN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2007
Practice Address - Country:US
Practice Address - Phone:510-994-1439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst