Olivia Skubal, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1336-140 Issued in WI

Practice address

2073 Lawrence Dr
De Pere, WI 54115-9106

Phone

(920) 350-3027

Fax

(920) 351-3043

NPI assigned

Jan 22, 2025

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

• Olivia Baumgartner 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.

• Milestones Behavioral Pediatrics Inc

  • Community/Behavioral Health Agency
  • De Pere, WI
  • NPI 1649759705
  NPD (past)

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1114739778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 LAWRENCE DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159106",
            "telephone_number": "920-350-3027",
            "fax_number": "920-351-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 LAWRENCE DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159106",
            "telephone_number": "920-350-3027",
            "fax_number": "920-351-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBAL",
        "first_name": "OLIVIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1336-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "BAUMGARTNER",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Vincent Signorelli
• Ann M Sislo
• Gabrielle Paige Siudzinski, APSW
• Amy B Skiver, MA
• Bruce Skovera
• Smart Choice MRI LLC
• Peter Mauthe Smith, PT
• Michael Snider, ATS
• Speech Spark Services, LLC
• Kristen A Speerschneider, DPT

• Behavior Analyst in De Pere, WI
• Providers in De Pere, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.