MACKENZIE CONDON (NPI# 1154944403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154944403 |
| Entity Type | Individual |
| Full Name | MACKENZIE CONDON |
| Other Name | MACKENZIE JOHNSON |
| Practice Address |
9120 W Loomis Rd Ste 400 Franklin WI 53132-9083 |
| Mailing Address |
142 E 16th St Apt 12e New York NY 10003-3507 |
| Practice Telephone | 8336463222 |
| Practice Fax Number | 8336463222 |
| Mailing Telephone | 8336463222 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100051460 | 05 |
| Street Address |
9120 W LOOMIS RD STE 400 |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752502 | Amanda Hartung | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1720601081 | Triliyah Bowie | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1982227229 | Emily Liewen | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1265055537 | Adilene Hernandez | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1518580885 | Kate Bromley | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752502 | Amanda Hartung | Behavior Technician | 9120 W Loomis Rd Ste 400, Franklin, WI 53132-9083 | 2020-05-21 |
| 1982262135 | Tricia Bernheart | Behavior Technician | 66 Beech St, Franklin, MA 02038-2602 | 2019-06-03 |
| 1265993711 | Stephanie Ann Jones | Behavior Technician | 300 Woodview Way Apt 3409, Franklin, MA 02038-4545 | 2019-03-27 |
| 1922567411 | Christina Anne Gordon | Behavior Technician | 12 Donato Dr, Franklin, MA 02038-2751 | 2019-03-14 |
| 1972018935 | Andree-lise Vallee Grover | Behavior Technician | 8 Independence Way Apt 119, Franklin, MA 02038-7316 | 2017-12-12 |
| 1225645450 | Audrey Chae Cothran | Behavior Technician | 3351 Aspen Grove Dr Ste 350, Franklin, TN 37067-2912 | 2020-10-01 |
| 1023624103 | Mikayla Dyson | Behavior Technician | 3351 Aspen Grove Dr Ste 350, Franklin, TN 37067-2912 | 2020-09-23 |
| 1982219895 | Perry Fraylick | Behavior Technician | 3351 Aspen Grove Dr Ste 350, Franklin, TN 37067-2912 | 2020-09-09 |
| 1740890409 | Patricia Marie Sheridan | Behavior Technician | 593 Maple St, Franklin, MA 02038-1513 | 2020-08-06 |
| 1154939593 | Nishi Desai | Behavior Technician | 3351 Aspen Grove Dr Ste 350, Franklin, TN 37067-2912 | 2020-07-22 |
| Find all providers in FRANKLIN | ||||
Please comment or provide details below to improve the information on MACKENZIE CONDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.