McKenzie Porter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB70007168 Issued in WA

Practice address

955 3Rd St Ste 201
Blaine, WA 98230-4057

Phone

(206) 751-6155

NPI assigned

Jul 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Autism Improvement Services

  • Behavior Analyst
  • Blaine, WA
  • NPI 1265116362
  NPD

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1225929763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 3RD ST STE 201",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304057",
            "telephone_number": "206-751-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 3RD ST STE 201",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304057",
            "telephone_number": "206-751-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB70007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Park
• Patrick Rooney D.D.S. P.S.
• Bruce M Pederson, MD
• Robert L Phillips, M.A., LPC
• Artem Popov, PHARMD
• Premise Health of Washington Medical PC
• Sadie Elise Rasar, LMT
• Donald Lyle Rathe, DDS
• Chantel Nikole Rector
• Teresa L. Regier, ARNP

• Behavior Technician in Blaine, WA
• Providers in Blaine, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.