Active NPI
Micayla Klockzien
- Behavior Technician
- Neenah, WI
National Provider Identifier
1992674758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-487344
- Practice address
- 1276 W Winneconne Ave
Neenah, WI 54956-2157 - Phone
- (920) 381-4133
- Fax
- (920) 325-0022
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-487344 | WI | Primary |
Addresses
Primary practice location
1276 W Winneconne Ave
Neenah, WI 54956-2157
Mailing address
1276 W Winneconne Ave
Neenah, WI 54956-2157
Phone (920) 381-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253952 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-487344 | WI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1992674758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 W WINNECONNE AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562157",
"telephone_number": "920-381-4133",
"fax_number": "920-325-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 W WINNECONNE AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562157",
"telephone_number": "920-381-4133",
"fax_number": "920-325-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOCKZIEN",
"first_name": "MICAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WI",
"license": "RBT-25-487344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253952",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.