IndividualActive
Simone Mckenzie, BCBA 1-20-42376
NPI 1699271973 · Behavior Analyst · Glenwood, IL
Provider details
- NPI number
- 1699271973
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA 1-20-42376
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
619 E Glenwood Lansing Rd Apt 103
Glenwood, IL 60425-2303
Phone: (312) 778-0612
Approximate (ZIP-level) locationGet directions
Mailing address
619 E Glenwood Lansing Rd Apt 103
Glenwood, IL 60425-2303
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.