Provider Demographics
NPI:1962074740
Name:MAKOWSKI, LIEHANNA (RBT)
Entity type:Individual
Prefix:
First Name:LIEHANNA
Middle Name:
Last Name:MAKOWSKI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:LIEHANNA
Other - Middle Name:
Other - Last Name:PAUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:226 TIMBERLINE OAK DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-6405
Mailing Address - Country:US
Mailing Address - Phone:716-341-4188
Mailing Address - Fax:
Practice Address - Street 1:1215 JONES FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-5440
Practice Address - Country:US
Practice Address - Phone:910-386-8958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician