MACKINZEE SMITH (NPI# 1538623772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538623772 |
| Entity Type | Individual |
| Full Name | MACKINZEE SMITH |
| Credential | BCBA |
| Practice Address |
916 W Forrest Hill Ave Peoria IL 61604-1481 |
| Practice Telephone | 3096573930 |
| Mailing Telephone | 3096573930 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-32581 | IL | Behavioral Health & Social Service Providers |
| Street Address |
916 W FORREST HILL AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795281 | Segolene Waechter | Behavioral Analyst | 1108 N Glenwood Ave, Peoria, IL 61606-1009 | 2020-03-13 |
| 1093377889 | Rodrigo Esteban Mendoza | Behavioral Analyst | 6916 W Sweetwater Ave, Peoria, AZ 85381-5020 | 2019-07-02 |
| 1831668086 | Jessica Marie Fowler | Behavioral Analyst | 27333 N 75th Dr, Peoria, AZ 85383-6344 | 2018-11-16 |
| 1376020339 | Erin Marie Cavanagh | Behavioral Analyst | 3805 N Avalon Pl, Peoria, IL 61614-7022 | 2018-07-23 |
| 1053817643 | Ame Lynne Milosevich | Behavioral Analyst | 8014 W Redbird Rd, Peoria, AZ 85383-6263 | 2018-04-03 |
| 1750748695 | Michele Case | Behavioral Analyst | 6826 W Brown St, Peoria, AZ 85345-6876 | 2016-01-22 |
| 1376926493 | Stephanie Russell | Behavioral Analyst | 21505 N 78th Ave, 125, Peoria, AZ 85382-3356 | 2015-07-07 |
| 1598174617 | Nancy I Salinas Burgett | Behavioral Analyst | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2014-08-04 |
| 1164850095 | Aurel Burz | Behavioral Analyst | 8249 W Crocus Dr, Peoria, AZ 85381-4648 | 2013-11-01 |
| 1740622364 | Nicole A Barton | Behavioral Analyst | 8817 W Loma Ln, Peoria, AZ 85345-2560 | 2013-07-24 |
| Find all providers in PEORIA | ||||
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| 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.