Dana Marie Ignarski, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

357-140 Issued in WI

Practice address

10450 72ND Ave
Pleasant Prairie, WI 53158-2911

Phone

(262) 657-6453

Fax

(262) 671-5013

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana Marie Moldenhauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1457972382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 45TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424218",
            "telephone_number": "262-220-2666"
        },
        {
            "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": [
        {
            "address_1": "7859 49th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531424237",
            "country_code": "US",
            "telephone_number": "262-220-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNARSKI",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "357-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357-140",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MOLDENHAUER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hospice Alliance, Inc. (Alliance HomeCare)
• Giovanni Hudson
• Lawrence Michael Hudson, PT
• Benjamin Scott Hungerford, RD, CD
• Patricia Hunt
• Ihc Hospitalists LLC
• Ihc Hospitalists LLC
• Ihc Pleasant Prairie Inpatient Services LLC
• Ihc-Kenosha Radiology, LLC
• Ihc-Wound Care Services LLC

• Behavior Analyst in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.