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

Simone McKenzie, BCBA1-20-42376

Individual provider Behavior Analyst · NPI 1699271973

Simone McKenzie, BCBA1-20-42376 is a Behavior Analyst in Glenwood, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

619 E Glenwood Lansing Rd Apt 103
Glenwood, IL 60425-2303
Phone: (312) 778-0612
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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 number1699271973
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA1-20-42376
Sole proprietorYes
NPI enumeratedApril 4, 2018
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address619 E Glenwood Lansing Rd Apt 103, Glenwood, IL 60425-2303

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