Individual provider Active NPI

Emily Marie Neveu

  • Behavior Analyst
  • Cedarburg, WI
National Provider Identifier
1013424985
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
317-140 Issued in WI
Practice address
1575 Skyline Dr
Cedarburg, WI 53012-9397
Phone
(262) 385-5907
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0177825 MI
Behavior Analyst 103K00000X 317-140 WI Primary

Addresses

Primary practice location

1575 Skyline Dr
Cedarburg, WI 53012-9397

Mailing address

5720 N 93Rd St
Milwaukee, WI 53225-2711
Phone (906) 396-5901

Other practice location 1

1363 Douglas Dr Ste 104
Traverse City, MI 49696-8980
Phone (231) 668-4909

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

LicenseStateTypeSpecialty
317-140WIMDBehavioral Analyst
0177825MIMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Chain of Lakes ABA LLC Behavior Analyst Current Accepting new patients
Great Lakes Behavior Analysis, Inc. Behavior Analyst PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1013424985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 N 93RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532252711",
            "telephone_number": "906-396-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SKYLINE DR",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129397",
            "telephone_number": "262-385-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 Douglas Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496968980",
            "country_code": "US",
            "telephone_number": "231-668-4909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVEU",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MI",
            "license": "0177825",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "317-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.