Active NPI
Alexxa Decarlo
- Behavior Analyst
- Pleasant Prairie, WI
National Provider Identifier
1427883107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-75336
- Practice address
- 10450 72ND Ave
Pleasant Prairie, WI 53158-2911 - Phone
- (262) 657-6453
- Fax
- (262) 671-5013
- NPI assigned
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-24-75336 | WI | Primary |
Addresses
Primary practice location
10450 72ND Ave
Pleasant Prairie, WI 53158-2911
Mailing address
4030 S Lake Dr Unit 1
St Francis, WI 53235-5249
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1427883107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 S LAKE DR UNIT 1",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532355249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 72ND AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531582911",
"telephone_number": "262-657-6453",
"fax_number": "262-671-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECARLO",
"first_name": "ALEXXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "1-24-75336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.