Active NPI
Brittany Willich
- Behavior Analyst
- Pleasant Prairie, WI
National Provider Identifier
1457988081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 355-140
- Practice address
- 10450 72ND Ave
Pleasant Prairie, WI 53158-2911 - Phone
- (262) 657-6453
- NPI assigned
- Mar 24, 2020
- 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 | 355-140 | WI | Primary |
Addresses
Primary practice location
10450 72ND Ave
Pleasant Prairie, WI 53158-2911
Mailing address
4319 S Logan Ave
Milwaukee, WI 53207-5246
Phone (608) 354-1525
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonnenberg Consultants LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Franksville, WI
- NPI 1083929749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1457988081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4319 S LOGAN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532075246",
"telephone_number": "608-354-1525"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLICH",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "355-140",
"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 Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.