Kiel Steven Desjarlais

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

505 S Dewey St
Suite 101
Eau Claire, WI 54701-3704

Phone

(715) 836-0064

Fax

(715) 836-0065

NPI assigned

Sep 28, 2012

Sex

Male

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

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1306197405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 DALE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST",
            "address_2": "SUITE 101",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013704",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARLAIS",
        "first_name": "KIEL",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Dennison, M.D.
• Jill Depke, NP
• Gregory A Derfus, MD
• Rachel Derusha, APNP
• Jonathan Dervetski
• Kyle James Dettbarn, MD
• Brandon R. Devine, D.C.
• Robert Devine, DC
• Christopher James Devlin, CFA
• Nicholas Dewerd, DPT

• Behavior Analyst in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.