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MACKENNA MITTELSTAEDT
NPI 1104598622
Behavior Analyst in Aurora, IL

Active since October 03, 2021
892 S FRONTENAC ST, AURORA, IL 60504(630) 763-6630 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Oct 3, 2021 (2 updates tracked since 2021).

About Mackenna Mittelstaedt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENNA MITTELSTAEDT (NPI 1104598622) is an individual behavior analyst provider in Aurora, Illinois and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1104598622
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMACKENNA MITTELSTAEDT
Location Address892 S FRONTENAC STAurora, IL 60504-3165
Mailing Address892 S Frontenac StAurora, IL 60504-3165
Phone(630) 763-6630
Sole ProprietorNo
Enumeration DateOctober 3, 2021
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1104598622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
892 S FRONTENAC ST, Aurora, IL 60504
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUDIO HEALTH
Chiropractor (Rehabilitation)
892 S FRONTENAC ST
AURORA, IL 60504
Dupage County (480) 823-1000
STEPHANIE SCHMALZ BCBA
Behavior Analyst
892 S FRONTENAC ST
AURORA, IL 60504
Dupage County (331) 264-8225
DANTE LEE FIELDS MS, BCBA
Behavior Analyst
892 S FRONTENAC ST
AURORA, IL 60504
Dupage County (331) 264-8225
KELLYE NICOLE BAGEON MA
Behavior Analyst
892 S FRONTENAC ST
AURORA, IL 60504
Dupage County (331) 264-8225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenna Mittelstaedt's NPI number?

The NPI number for Mackenna Mittelstaedt is 1104598622. It was assigned to this individual provider in the NPPES registry on October 3, 2021.

Where is Mackenna Mittelstaedt located?

Mackenna Mittelstaedt practices at 892 S Frontenac St, Aurora, IL 60504. The listed phone number is (630) 763-6630.

What is Mackenna Mittelstaedt's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Mackenna Mittelstaedt was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.