BRAD KENNETH BREZINSKI (NPI# 1184263188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184263188 |
| Entity Type | Individual |
| Full Name | BRAD KENNETH BREZINSKI |
| Credential | BCBA |
| Practice Address |
1500 N Casaloma Dr Ste 306 Appleton WI 54913-8220 |
| Practice Telephone | 9202050475 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEHAVIOR ANALYST CERTIFICATION BOARD | 1-19-38874 | 01 |
| Street Address |
1500 N CASALOMA DR STE 306 |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326402173 | Ashley Lyons | Behavioral Analyst | 1314 S Riverdale Dr, Appleton, WI 54914-4817 | 2016-04-07 |
| 1598909665 | Early Interventions Inc | Behavioral Analyst | 1891 E Apple Creek Rd, Appleton, WI 54913-9513 | 2009-04-20 |
| 1720522550 | Anney Renee Fahrenholz | Behavioral Analyst | 510 E Wisconsin Ave, Appleton, WI 54911-4865 | 2016-12-13 |
| 1871950774 | Jacob Hermes | Behavioral Analyst | 5733 W Grande Market Dr, Appleton, WI 54913-8472 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424332 | David Alberts | Behavioral Analyst | 502 Atlas Ave, Madison, WI 53714-3108 | 2020-10-09 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1982218327 | Brooke Boss | Behavioral Analyst | N4103 Dam Rd, Delavan, WI 53115-2979 | 2020-09-02 |
| 1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
| 1033728753 | Kristin Nichol Floss | Behavioral Analyst | N4175 County Road K, Shawano, WI 54166-7036 | 2020-07-28 |
| 1316556111 | Melissa Ann Bowman | Behavioral Analyst | 3333 N Mayfair Rd Ste 110, Wauwatosa, WI 53222-3219 | 2020-07-28 |
| 1194343707 | Bridges Consultation and Treatment | Behavioral Analyst | W4874 Edelweiss Road, New Glarus, WI 53574 | 2020-07-09 |
| 1811512296 | Amy Cliff Graham | Behavioral Analyst | 410 N Shore Dr, Scandinavia, WI 54977-9215 | 2020-06-11 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1407470685 | Emily Wendt | Behavioral Analyst | 4500 Industrial Park Rd, Stevens Point, WI 54481-5014 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.