Individual provider Active NPI

Ciara Grundahl

  • Behavior Technician
  • Reedsburg, WI
National Provider Identifier
1619887296
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1302846 Issued in WI
Practice address
1375 E Main St
Reedsburg, WI 53959-1498
Phone
(608) 415-4449
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1302846 WI Primary

Addresses

Primary practice location

1375 E Main St
Reedsburg, WI 53959-1498

Mailing address

1375 E Main St
Reedsburg, WI 53959-1498
Phone (608) 415-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1619887296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591498",
            "telephone_number": "608-415-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591498",
            "telephone_number": "608-415-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDAHL",
        "first_name": "CIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "1302846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.