{"npi":"1992386007","type":"NPI-1","status":"active","name":{"display":"Mckenzie Theisen Bcba","other":[],"first":"MCKENZIE","last":"THEISEN","credential":"BCBA"},"specialty":{"primary_taxonomy":"103K00000X","primary_taxonomy_description":"Behavior Analyst","slug":"behavior-analyst","schema_org_specialty":null,"all":[{"code":"106S00000X","description":"Behavior Technician","primary":false,"state":"VA","license":"RBT-21-163887"},{"code":"103K00000X","description":"Behavior Analyst","primary":true,"state":null,"license":"1-23-70003"}]},"addresses":[{"purpose":"LOCATION","street_1":"5221 6TH STREET FRONTAGE RD E STE 100","city":"SPRINGFIELD","state":"IL","postal_code":"627035745","country_code":"US","phone":"7123055526"},{"purpose":"MAILING","street_1":"1604 TORONTO RD APT 10","city":"SPRINGFIELD","state":"IL","postal_code":"627123702","country_code":"US","phone":"7123055266"}],"license":{"state":null,"number":"1-23-70003"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-04-20","last_updated":"2023-12-08","_meta":{"source":"NPPES","snapshot_date":"2023-12-08","doc_url":"https://findmynpi.com/api"}}