Active NPI
Paige Case
- Behavior Analyst
- Fond Du Lac, WI
National Provider Identifier
1083486856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1156-140
- Practice address
- 51 W Scott St Unit 4
Fond Du Lac, WI 54935-2342 - Phone
- (920) 857-9041
- Fax
- (920) 857-3366
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1156-140 | WI | Primary |
Addresses
Primary practice location
51 W Scott St Unit 4
Fond Du Lac, WI 54935-2342
Mailing address
W4629 Marys Ave
Fond Du Lac, WI 54937-7516
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1156-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caravel Autism Health, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Green Bay, WI
- NPI 1588993091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1083486856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4629 MARYS AVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549377516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 W SCOTT ST UNIT 4",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549352342",
"telephone_number": "920-857-9041",
"fax_number": "920-857-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1156-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.