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

Mackenna Mittelstaedt

Individual provider Behavior Analyst · NPI 1104598622

Mackenna Mittelstaedt is a Behavior Analyst in Aurora, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

892 S Frontenac St
Aurora, IL 60504-3165
Phone: (630) 763-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1104598622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2021
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address892 S Frontenac St, Aurora, IL 60504-3165

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