McKinzie Dawn Alexus-Douglas
Individual provider Active NPI Behavior Technician · Oak Creek, WI
NPI 1992689616 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1992689616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2603 W Rawson Ave Ste 132
Oak Creek, WI 53154-8422 - Phone
- (888) 754-0398
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
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
2603 W Rawson Ave Ste 132
Oak Creek, WI 53154-8422
Mailing address
826 Lakeview Ave
South Milwaukee, WI 53172-3854
Phone (970) 568-6506
Other providers in Oak Creek, WI
- Agora Worldwide Unlimited LLC
- Madeline Rose Aguilar
- Farid A Ahmad
- Mustafa Al Rubaye
- Aretha Aldridge-Brown
- Gadeer Ali
- Kayla Allan
- Nawras Alshoubaki
- America'S Best Contacts & Eyeglasses
- American Homepatient, Inc.
All providers in Oak Creek, WI · Behavior Technician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. 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.