Individual provider · Type 1 NPI

McKenzie T. Bacon, MS, BCBA

Behavior Analyst · Springfield, MO

NPI number 1700549821 Active

Practice location

1300 E Bradford Pkwy Bldg B
Springfield, MO 65804-4264

Call (417) 761-5000 Map

Fax (417) 761-5011

Mailing address

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X2021039670 (MO)

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 1700549821

McKenzie T. Bacon, MS, BCBA's National Provider Identifier is 1700549821, issued on Oct 15, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Springfield, MO. The record was last updated on Jun 11, 2025.