Mckenzie Theisen, BCBA
NPI #1992386007 in Springfield, Illinois
Provider Information
- NPI Number
- 1992386007
- Entity Type
- Individual
- Name
- Mckenzie Theisen, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 5221 6TH STREET FRONTAGE RD E STE 100
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5745
- Phone
- (712) 305-5526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
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