Individual provider · Type 1 NPI

McKenzie Theisen, BCBA

Behavior Analyst · Springfield, IL

NPI number 1992386007 Active

Practice location

5221 6th Street Frontage Rd E Ste 100
Springfield, IL 62703-5745

Mailing address

1604 Toronto Rd Apt 10
Springfield, IL 62712-3702

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-21-163887 (VA)
Behavior Analyst Primary 103K00000X1-23-70003

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 1992386007

McKenzie Theisen, BCBA's National Provider Identifier is 1992386007, issued on Apr 20, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Springfield, IL. The record was last updated on Dec 8, 2023.