Holly K Bruski

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

190-140 Issued in WI

Practice address

150 N Sunny Slope Rd Ste 100
Brookfield, WI 53005-4806

Phone

(262) 432-5660

Fax

(262) 432-5666

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly K Vobroucek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Spectrum Therapies of Delaware, LLC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1043406978

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1093234635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 FOURIER DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171969",
            "telephone_number": "608-662-9327",
            "fax_number": "608-662-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SUNNY SLOPE RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054806",
            "telephone_number": "262-432-5660",
            "fax_number": "262-432-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKI",
        "first_name": "HOLLY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "190-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "VOBROUCEK",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Elizabeth Brunner, MA, LPC
• Brandon Andrew Brunner, D.D.S.
• Kelsey Brunner, MS, LAT, ATC
• Sarah Brunner, RDN
• Jessica Bruns
• Christina Bryan, DPT
• Cynthia Ann Brzank, PTA
• Cassaundra Brzeski
• Bubon & Associates, Orthodontics, SC
• Edward Anthony Buchanan, DDS

• Behavior Analyst in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.