Learning Grove ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LEARNING GROVE ABA LLC

Practice address

1204 Weston Ave
Rothschild, WI 54474-1160

Phone

(715) 581-5426

NPI assigned

Jun 10, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian Emil Theiss

Title

Owner/Operator

Phone

(715) 581-5426

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriella Theiss, MA, BCBA, LBA

  • Behavior Analyst
  • Rothschild, WI
  • NPI 1821680042
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1578305686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 8TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551311",
            "telephone_number": "715-581-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WESTON AVE",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "544741160",
            "telephone_number": "715-581-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNING GROVE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "THEISS",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "715-581-5426"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan B Kafczynski
• Henry Kanemoto, MD
• Nicole M Klatt, AU.D
• Bryan Konkol
• Erica Koshak
• Molly Suzanne Lepak, M.S. CCC-SLP
• Lacy M Lettau, RN
• April Michelle Lobdell
• Angela Lund, D.C.
• Peter G. Martell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.