Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIMONE MCKENZIE, BCBA 1-20-42376
Active Sole ProprietorSIMONE MCKENZIE, BCBA 1-20-42376 is a Behavior Analyst healthcare provider located in GLENWOOD, Illinois. NPI 1699271973 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GLENWOOD, IL
Registration Details
- NPI Number
- 1699271973
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2018 (8.3464443979746 yrs)
- Last Updated
- Jun 18, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 E GLENWOOD LANSING RD APT 103GLENWOOD, IL, 604252303Browse IL providers · Browse ZIP 60425
- Phone
- 3127780612
- Primary Specialty
-
Behavior Analyst
103K00000X
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.