MS. MACKENZIE LAESCH (NPI# 1508363649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363649 |
| Entity Type | Individual |
| Full Name | MS. MACKENZIE LAESCH |
| Credential | BCBA |
| Practice Address |
8500 N Knoxville Ave Peoria IL 61615-2079 |
| Practice Telephone | 3128821024 |
| Mailing Telephone | 3128821024 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-27610 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 W Grand Ave Ste 207, Elmhurst, IL 601261025 | 8442631613 | 8442631612 |
| Street Address |
8500 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538503388 | Lindsay Alyne Stangeland | Behavioral Analyst | 8500 N Knoxville Ave, Suite A, Peoria, IL 61615-2079 | 2013-04-23 |
| 1821539529 | Jessica Rohwer | Social Worker | 8500 N Knoxville Ave, Peoria, IL 61615-2079 | 2017-03-14 |
| 1275994543 | Susan Sparks | Social Worker | 8500 N Knoxville Ave, Peoria, IL 61615-2079 | 2016-03-15 |
| 1396106647 | Skill Sprout, LLC | Social Worker | 8500 N Knoxville Ave, Ste Ab, Peoria, IL 61615-2079 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
| 1538623772 | Mackinzee Smith | Behavioral Analyst | 916 W Forrest Hill Ave, Peoria, IL 61604-1481 | 2019-01-22 |
| 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 |
| 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.