Organization Active NPI

Chain of Lakes ABA LLC

Doing business as Chain of Lakes ABA Services

  • Behavior Analyst
  • Waupaca, WI
National Provider Identifier
1295562114
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHAIN OF LAKES ABA LLC
Doing business as
Chain of Lakes ABA Services
Practice address
E1775 Garfield LN
Waupaca, WI 54981-8213
Phone
(906) 396-5901
Fax
(715) 318-0234
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Emily M Neveu, BCBANPI 1013424985
Title
Owner/Clinician
Phone
(906) 396-5901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

E1775 Garfield LN
Waupaca, WI 54981-8213

Mailing address

E1775 Garfield LN
Waupaca, WI 54981-8213
Phone (906) 396-5901

Other names 1

  • CHAIN OF LAKES ABA SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1295562114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1775 GARFIELD LN",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818213",
            "telephone_number": "906-396-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E1775 GARFIELD LN",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818213",
            "telephone_number": "906-396-5901",
            "fax_number": "715-318-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIN OF LAKES ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "NEVEU",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "906-396-5901",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAIN OF LAKES ABA SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waupaca, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.