Kaisha P. Alcorn
Individual provider Active NPI Behavior Technician · Decatur, IL
NPI 1093636110 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1093636110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 551 W Waggoner St
Decatur, IL 62526-4023 - Phone
- (217) 530-5704
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
551 W Waggoner St
Decatur, IL 62526-4023
Mailing address
551 W Waggoner St
Decatur, IL 62526-4023
Phone (217) 530-5704
Other providers in Decatur, IL
- Mohammed S Akram
- Omar Mohammad Al-Heeti
- Elaina Albaugh
- Taylor Alberson
- Denise Albert
- Brooklynn June Aldridge
- Anthony Darnell Alexander
- Welaa A Aljaroudi
- All Ways Caring Services, Inc.
- All Ways Caring Services, Inc.
All providers in Decatur, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.