Skills Autism Therapy House LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SKILLS AUTISM THERAPY HOUSE LLC

Practice address

1323 N 68TH St
Milwaukee, WI 53213-2801

Phone

(651) 235-9451

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Fondungallah

Title

Human Resources and Legal Manager

Phone

(651) 235-9451

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1184295842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132801",
            "telephone_number": "651-235-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132801",
            "telephone_number": "651-235-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS AUTISM THERAPY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "FONDUNGALLAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "HUMAN RESOURCES AND LEGAL MANAGER",
        "authorized_official_telephone_number": "651-235-9451"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EgnyteServer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1323 N 68th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532132801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellie Skelton, SLP
• Maria Ann Skemp, MS, LPC
• Sarah Skenandore
• Alexandra Skibinski
• Michelle L. Skierka, MSN, APNP, FNP-BC
• Joyce F Skinner, FNP
• Nechama Sklar
• Michelle Skoien, M.S., CF-SLP
• Catharine Eileen Skoog, PA-C
• Teresa Marie Skora, APN-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.