Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MACKENZIE LAESCH, BCBA
ActiveMS. MACKENZIE LAESCH, BCBA is a Behavior Analyst healthcare provider located in BLOOMINGTON, Illinois. NPI 1508363649 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1508363649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2018 (8.3217960619055 yrs)
- Last Updated
- Dec 3, 2021
- License
-
1-17-27610 (IL)
Practice Information
- Address
-
301 S PROSPECT RD STE 2BLOOMINGTON, IL, 617044908Browse IL providers · Browse ZIP 61704
- Phone
- 2244360788
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY ANN WILLIAMSON | BCBA | 1801067400 |
| JENNIFER RENEE SULLIVAN | — | 1902049653 |
| JULIE LAUREN SODERBERG | BCABA | 1629380225 |
| DR. LERA JOYCE JOHNSON | BCBA-D, BAMC | 1215282124 |
| EDWARD L MCCRACKEN | M.ED. | 1114426723 |
| HALLIE M JOHNSON | BCBA | 1386129864 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.