Active NPI
Andrew David Bykowski, BCBA, M.S.
- Behavior Analyst
- New Berlin, WI
National Provider Identifier
1689138042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 279-140
- Practice address
- 2665 S Moorland Rd Ste 100
New Berlin, WI 53151-2900 - Phone
- (414) 475-1896
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- 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 | 279-140 | WI | Primary |
Addresses
Primary practice location
2665 S Moorland Rd Ste 100
New Berlin, WI 53151-2900
Mailing address
239 Maplewynde Rd
West Bend, WI 53095-4939
Phone (262) 510-7747
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Treatment for Children, LLC | 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.
-
- Community/Behavioral Health Agency
- New Berlin, WI
- NPI 1952613069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1689138042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 MAPLEWYNDE RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530954939",
"telephone_number": "262-510-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 S MOORLAND RD STE 100",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531512900",
"telephone_number": "414-475-1896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYKOWSKI",
"first_name": "ANDREW",
"middle_name": "DAVID",
"credential": "BCBA, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "279-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.