SKYLIGHT AUTISM CENTER (NPI# 1801381173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801381173 |
| Entity Type | Organization |
| Organization Name | SKYLIGHT AUTISM CENTER |
| Practice Address |
4601 Camp Phillips Rd Weston WI 54476-1572 |
| Mailing Address |
7505 Gusman Rd Schofield WI 54476-2109 |
| Practice Telephone | 7155711566 |
| Mailing Telephone | 7155711566 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | ALEXIS LEGENZA (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7155711566 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-24748 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1679018022 | 05 |
| Street Address |
4601 CAMP PHILLIPS RD |
| City | WESTON |
| State | WI |
| Zip Code | 54476-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1174183446 | Jacquelyn Sirianni | Counselor | 4601 Camp Phillips Rd, Weston, WI 54476-1572 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| 1376600395 | Elroy David Koskey | Physical Therapist | 4203 Schofield Avenue, Suite 9, Weston, WI 54476 | 2007-01-02 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1669088720 | Mariana Isabel Castillo | Behavioral Analyst | 2010 Lakeshore Dr, Weston, FL 33326-2353 | 2020-09-23 |
| 1598396731 | Behavioral Health Field Inc. | Behavioral Analyst | 16252 Laurel Dr Apt 201, Weston, FL 33326-1681 | 2020-01-27 |
| 1750926234 | Hernando Mesa | Behavioral Analyst | 524 Penta Ct, Weston, FL 33327-2414 | 2019-11-08 |
| 1275003899 | Sofia Andreina Gonzalez | Behavioral Analyst | 1623 Blue Jay Circle, Weston, FL 33327 | 2018-11-26 |
| 1487123238 | Natalia Manrique | Behavioral Analyst | 2179 Hacienda Ter, Weston, FL 33327-2239 | 2018-11-21 |
| 1104319714 | Karem Valentina Pazo | Behavioral Analyst | 16602 Saddle Club Rd, Weston, FL 33326-1810 | 2018-06-08 |
| 1730682543 | Gabriela Bigott | Behavioral Analyst | 293 Bridgeton Way, Weston, FL 33326-2960 | 2018-03-18 |
| 1740719442 | Vanessa Bernardini | Behavioral Analyst | 555 Racquet Club Road #27, Weston, FL 33326-3332 | 2017-06-06 |
| 1457890634 | Gabriela De La Torre | Behavioral Analyst | 872 Marina Dr, Weston, FL 33327-2122 | 2017-02-21 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| Find all providers in WESTON | ||||
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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.