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DR. MARYELLEN KOCH JENSEN DC, MSED, BCBA, LBA
NPI 1619191574
Behavior Analyst in Kirksville, MO

Active since April 12, 2007
606 S HALLIBURTON ST, KIRKSVILLE, MO 63501(660) 341-1105 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Maryellen Koch Jensen Dc, Msed, Bcba, Lba NPPES

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

DR. MARYELLEN KOCH JENSEN DC, MSED, BCBA, LBA (NPI 1619191574) is an individual behavior analyst provider in Kirksville, Missouri, licensed in Missouri (2018037916) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1619191574
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameDR. MARYELLEN KOCH JENSENCredential: DC, MSED, BCBA, LBA
Location Address606 S HALLIBURTON STKirksville, MO 63501-3712
Mailing Address430 Wayne 375Williamsville, MO 63967-8938 · (660) 341-1105
Phone(660) 341-1105
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1619191574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MO · 2018037916
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.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 2000148952 (MO)
606 S HALLIBURTON ST, Kirksville, MO 63501
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Other Names 1

Former Name (1)Dr. Maryellen C. Koch Dc

Other Providers at the Same Location NPPES 3

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

TRUMAN STATE UNIVERSITY
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 785-7551
EMILY ANN JENNINGS MSED, BCBA
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 785-7551
JENNIFER STAM FOUNTAIN BCBA, LBA
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 785-7551

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 Maryellen Jensen's NPI number?

The NPI number for Maryellen Jensen is 1619191574. It was assigned to this individual provider in the NPPES registry on April 12, 2007. The provider is also known as Dr. Maryellen C. Koch Dc.

Where is Maryellen Jensen located?

Maryellen Jensen practices at 606 S Halliburton St, Kirksville, MO 63501. The listed phone number is (660) 341-1105.

What is Maryellen Jensen'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 Maryellen Jensen was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.