Hannah Marie Effertz, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

321 Issued in WI

Practice address

525 N 6TH St
Milwaukee, WI 53203-2703

Phone

(715) 419-2314

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brighter Care ABA LLC

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1144936758
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1689216418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SILVER LAKE PLZ APT 212",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530666811",
            "telephone_number": "715-419-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032703",
            "telephone_number": "715-419-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFERTZ",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.