Provider Demographics
NPI:1205530946
Name:HINDS, MACALA LEIGH
Entity type:Individual
Prefix:
First Name:MACALA
Middle Name:LEIGH
Last Name:HINDS
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 1:394 BRAZOS ST
Mailing Address - Street 2:
Mailing Address - City:BULLARD
Mailing Address - State:TX
Mailing Address - Zip Code:75757-6720
Mailing Address - Country:US
Mailing Address - Phone:903-393-1708
Mailing Address - Fax:
Practice Address - Street 1:394 BRAZOS ST
Practice Address - Street 2:
Practice Address - City:BULLARD
Practice Address - State:TX
Practice Address - Zip Code:75757-6720
Practice Address - Country:US
Practice Address - Phone:903-393-1708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst