Mackenzie Jo Lemon

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-84106

Practice address

1319 Calle Avanzado
San Clemente, CA 92673-6351

Phone

(949) 272-6146

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolutions ABA Inc

  • Behavior Analyst
  • San Clemente, CA
  • NPI 1932980398
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1164029864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S VAN BUREN ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892311",
            "telephone_number": "262-993-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CALLE AVANZADO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736351",
            "telephone_number": "949-272-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "MACKENZIE JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "16501",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-25-84106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Sung-Jae Lee, D.D.S., M.S.
• Bryan Leigh, M.D.
• Nicole Lynn Leland, DC
• Drew Matthew Lemay, PT
• Lydia Lemiesz
• Alida Leonard, TEACHER/SLP
• Julia Leigh Levine, M.S., R.D.
• Cleveland Lewis Jr., M.D.,
• Pamela Lewis, M.A., CCC-SLP
• Michelle Liddell, BCBA

• Behavior Analyst in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.