Individual ProviderMakenzie Nicole BaileyBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address5137 Oak Shade Way, Fair Oaks, CA 95628-41661916385976PECOS EnrollmentBased on the most recent information from CMS, provider Makenzie Nicole Bailey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861114894Provider TypeIndividualFull NameBailey, Makenzie NicoleGenderFemaleSole ProprietorNoEnumeration Date9/15/2022Last Updated9/15/2022Contact InformationPractice LocationPractice Address5137 Oak Shade Way, Fair Oaks, CA 95628-4166Phone1916385976FaxUnlisted FaxMailing LocationMailing Address5137 Oak Shade Way, Fair Oaks, CA 95628-4166Phone1916385976FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer