Organization Active NPI

Applied Behavioral Intervention Services, LLC

  • Community/Behavioral Health Agency
  • Altoona, WI
National Provider Identifier
1073822656
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5-140 Issued in WI
Legal business name
APPLIED BEHAVIORAL INTERVENTION SERVICES, LLC
Practice address
2028 High Point Dr
Altoona, WI 54720-3506
Phone
(715) 852-0112
Fax
(715) 852-0112
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Kevin P Klatt, PHD, BCBA-D, LBANPI 1720300494
Title
Member/Lead Therapist
Phone
(715) 852-0112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5-140 WI Primary

Addresses

Primary practice location

2028 High Point Dr
Altoona, WI 54720-3506

Mailing address

2028 High Point Dr
Altoona, WI 54720-3506
Phone (715) 852-0112

Other names 1

  • ABIS, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1073822656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 HIGH POINT DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547203506",
            "telephone_number": "715-852-0112",
            "fax_number": "715-852-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 HIGH POINT DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547203506",
            "telephone_number": "715-852-0112",
            "fax_number": "715-852-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KLATT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER/LEAD THERAPIST",
        "authorized_official_telephone_number": "715-852-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "5-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABIS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.