MCKENZIE GROOMS
NPI 1467932269
Behavior Technician in Fairbanks, AK

Active since August 21, 2018
3520 INDUSTRIAL AVE, FAIRBANKS, AK 99701(907) 697-5332 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2021, Dec 28, 2020, Aug 21, 2018 (3 updates tracked since 2018).

About Mckenzie Grooms NPPES

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

MCKENZIE GROOMS (NPI 1467932269) is an individual behavior technician in Fairbanks, Alaska and active in the NPI registry since August 2018. She maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1467932269
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMCKENZIE GROOMS
Location Address3520 INDUSTRIAL AVEFairbanks, AK 99701-7376
Mailing Address3520 Industrial AveFairbanks, AK 99701-7376 · (907) 687-5332
Sole ProprietorNo
Enumeration DateAugust 21, 2018
Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1467932269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

3520 INDUSTRIAL AVE, Fairbanks, AK 99701

Other Names 1

Former Name (1)Mckenzie Pistulka

Secondary Practice Location 1

Location 12342 Professional Pkwy Ste 300Santa Maria, CA 93455-6819 · Phone (805) 979-9941

Other Providers at the Same Location NPPES 7

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

Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Prosthetic/Orthotic Supplier
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701
Behavior Technician
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701

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 Mckenzie Grooms's NPI number?

The NPI number for Mckenzie Grooms is 1467932269. It was assigned to this individual provider in the NPPES registry on August 21, 2018. The provider is also known as Mckenzie Pistulka.

Where is Mckenzie Grooms located?

Mckenzie Grooms practices at 3520 Industrial Ave, Fairbanks, AK 99701. The listed phone number is (907) 697-5332.

What is Mckenzie Grooms's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mckenzie Grooms was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.