Organization Active NPI

BDG of Wisconsin, Inc.

Doing business as Behavior Development Group

  • Behavior Analyst
  • Waukesha, WI
National Provider Identifier
1134660244
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BDG OF WISCONSIN, INC.
Doing business as
Behavior Development Group
Practice address
N19W2309 Riverwood Drive
Suite 350 PMB 314
Waukesha, WI 53188
Phone
(855) 663-3686
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Karen Carlson
Title
President
Phone
(224) 230-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

N19W2309 Riverwood Drive
Suite 350 PMB 314
Waukesha, WI 53188

Mailing address

N19W2309 Riverwood Drive
Suite 350 PMB 314
Waukesha, WI 53188

Other names 1

  • Behavior Development Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1134660244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N19W2309 RIVERWOOD DRIVE",
            "address_2": "SUITE 350 PMB 314",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N19W2309 RIVERWOOD DRIVE",
            "address_2": "SUITE 350 PMB 314",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "855-663-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDG OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-230-1901"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Development Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.