Active NPI
Tasha Marie Rieck, M.S., BCBA
- Behavior Analyst
- Milwaukee, WI
National Provider Identifier
1346528189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 23140
- Practice address
- 3090 N 53Rd St
Milwaukee, WI 53210-1617 - Phone
- (414) 494-4444
- NPI assigned
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 23140 | WI | Primary |
Addresses
Primary practice location
3090 N 53Rd St
Milwaukee, WI 53210-1617
Mailing address
401 W Walworth St
Elkhorn, WI 53121-1640
Phone (715) 829-1549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118091 | Other | WI | BCBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1346528189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W WALWORTH ST",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531211640",
"telephone_number": "715-829-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 N 53RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101617",
"telephone_number": "414-494-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIECK",
"first_name": "TASHA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "23140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1118091",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.