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

McKenzie Theisen, BCBA

Individual provider Behavior Technician · NPI 1992386007

McKenzie Theisen, BCBA is a Behavior Technician in Springfield, Illinois. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5221 6th Street Frontage Rd E Ste 100
Springfield, IL 62703-5745
Phone: (712) 305-5526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-70003
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-163887 (VA)

Record details

NPI number1992386007
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESDecember 8, 2023
Certification dateSeptember 29, 2023
Mailing address1604 Toronto Rd Apt 10, Springfield, IL 62712-3702

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