Individual provider · Type 1 NPI

Mackenna Mittelstaedt

Behavior Analyst · Aurora, IL

NPI number 1104598622 Active

Practice location

892 S Frontenac St
Aurora, IL 60504-3165

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: 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…

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About NPI 1104598622

Mackenna Mittelstaedt's National Provider Identifier is 1104598622, issued on Oct 3, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Aurora, IL. The record was last updated on Mar 18, 2026.