IndividualActive
Kaitlin Colclasure
NPI 1124987896 · Behavior Technician · Bloomington, IL
Provider details
- NPI number
- 1124987896
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 Saint Joseph Dr
Bloomington, IL 61701-3638
Phone: (309) 686-1177
Street-level locationGet directions
Mailing address
1011 Kingsbury Rd
Washington, IL 61571-1208
Additional practice locations (1)
- 507 E Armstrong AvePeoria, IL 61603-3201Phone: (309) 686-1177
Registry dates
- Enumerated
- 2026-01-19
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.