Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Maryellen Koch Jensen, DC, MSED, BCBA, LBA

Individual provider Nutrition Chiropractor · NPI 1619191574

Dr. Maryellen Koch Jensen, DC, MSED, BCBA, LBA is a Nutrition Chiropractor in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

See every abbreviation used in this directory →

Practice location Address checks out

606 S Halliburton St
Kirksville, MO 63501-3712
Phone: (660) 341-1105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2018037916 (MO)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 2000148952 (MO)

Record details

NPI number1619191574
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , MSED , BCBA , LBA
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024