Natasha Aimee Holbrook

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB365146 Issued in WI

Practice address

12075 Corporate Pkwy Ste 110
Mequon, WI 53092-2664

Phone

(877) 486-4140

NPI assigned

Feb 17, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1174023949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 CORPORATE PKWY STE 10",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 CORPORATE PKWY STE 110",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922664",
            "telephone_number": "877-486-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "NATASHA",
        "middle_name": "AIMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "BACB365146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath Hinson, PA-C
• Kristin M Hinterstocker, MPT
• Savannah Hoaglund
• Marianna P Hoard, OTR
• Makayla Hodges
• Thaddeus Holgado, C.O.
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• Yumiko Holley, RN
• Sarah Ann Holschuh, AU.D.
• Home Health Managers

• Behavior Technician in Mequon, WI
• Providers in Mequon, WI by specialty
• Behavior Technician in Wisconsin

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