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MCKENZIE THEISEN BCBA
NPI 1992386007
Behavior Analyst in Springfield, IL

Active since April 20, 2021
5221 6TH STREET FRONTAGE RD E STE 100, SPRINGFIELD, IL 62703(712) 305-5526 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2023, Apr 20, 2021 (2 updates tracked since 2021).

About Mckenzie Theisen Bcba NPPES

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

MCKENZIE THEISEN BCBA (NPI 1992386007) is an individual behavior analyst provider in Springfield, Illinois, licensed in (1-23-70003) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1992386007
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMCKENZIE THEISENCredential: BCBA
Location Address5221 6TH STREET FRONTAGE RD E STE 100Springfield, IL 62703-5745
Mailing Address1604 Toronto Rd Apt 10Springfield, IL 62712-3702 · (712) 305-5266
Phone(712) 305-5526
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1992386007 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 · 1-23-70003
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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-163887 (VA)
5221 6TH STREET FRONTAGE RD E STE 100, Springfield, IL 62703
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Other Providers at the Same Location NPPES 2

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

AUDRIAHNA C MACKLIN
Behavior Technician
5221 6TH STREET FRONTAGE RD E STE 100
SPRINGFIELD, IL 62703
Sangamon County (217) 292-1983
MARGARET ANNE GEORGE
Behavior Technician
5221 6TH STREET FRONTAGE RD E STE 100
SPRINGFIELD, IL 62703
Sangamon County (217) 292-1983

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 Theisen's NPI number?

The NPI number for Mckenzie Theisen is 1992386007. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Mckenzie Theisen located?

Mckenzie Theisen practices at 5221 6th Street Frontage Rd E Ste 100, Springfield, IL 62703. The listed phone number is (712) 305-5526.

What is Mckenzie Theisen'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 Mckenzie Theisen was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.