Provider Demographics
NPI:1467079129
Name:BARNIER, MIKKAYLA RAEN
Entity Type:Individual
Prefix:
First Name:MIKKAYLA
Middle Name:RAEN
Last Name:BARNIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIKKAYLA
Other - Middle Name:RAEN
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 ECHO PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4832
Mailing Address - Country:US
Mailing Address - Phone:925-553-4264
Mailing Address - Fax:
Practice Address - Street 1:2001 ECHO PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-4832
Practice Address - Country:US
Practice Address - Phone:925-553-4264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician