The Centers for Behavior Intervention

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE CENTERS FOR BEHAVIOR INTERVENTION

Practice address

6709 Raymond Rd
Madison, WI 53719-3943

Phone

(708) 995-5751

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Holley Gruenwald

Title

Credentialing

Phone

(513) 252-7792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1417504135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 PROGRESS BLVD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 RAYMOND RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193943",
            "telephone_number": "708-995-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTERS FOR BEHAVIOR INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GRUENWALD",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "513-252-7792"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.