CENTER FOR LANGUAGE ACQUISITION AND SOCIAL SKILLS INTERVENTION, LLC (NPI# 1699155648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699155648 |
| Entity Type | Organization |
| Organization Name | CENTER FOR LANGUAGE ACQUISITION AND SOCIAL SKILLS INTERVENTION, LLC |
| Practice Address |
8239 W Hillview Dr Mequon WI 53097-3205 |
| Practice Telephone | 4023193770 |
| Mailing Telephone | 4023193770 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | DR. TIFFANY KODAK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4023193770 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
690 | NE | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 86-140 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPPES | 1467621425 | 01 |
| Street Address |
8239 W HILLVIEW DR |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861872814 | Samantha Bergmann | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| 1194369751 | Marisa Elaine Mckee | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2019-11-06 |
| 1306208251 | Brittany Ann Leblanc | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2016-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| 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 |
|---|---|---|---|---|
| 1285170647 | Kayla Irene Terriquez | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2017-01-10 |
| 1942666045 | Olivia L Smith | Behavioral Analyst | 12075 Corporate Pkwy Ste 110, Mequon, WI 53092-2664 | 2016-01-06 |
| 1861872814 | Samantha Bergmann | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| 1528208618 | Jeffrey H Tiger | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2009-03-02 |
| 1194369751 | Marisa Elaine Mckee | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2019-11-06 |
| 1316593999 | Amoa T Childs | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-10 |
| 1225683790 | Amanda Gonzalez | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-01 |
| 1174090484 | Roger Kyle Caldwell | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2018-10-25 |
| 1306208251 | Brittany Ann Leblanc | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2016-03-21 |
| 1013381953 | Melissa Krabbe | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2015-11-16 |
| Find all providers in MEQUON | ||||
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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.