Individual provider Active NPI

Dawn Hermann, BCBA, CCC-SLP

  • Behavior Analyst
  • Altoona, WI
National Provider Identifier
1700628476
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1195-140 Issued in WI
Practice address
1027 5TH St E
Altoona, WI 54720-2081
Phone
(715) 419-0430
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6503-54 WI
Behavior Analyst 103K00000X 1195-140 WI Primary

Addresses

Primary practice location

1027 5TH St E
Altoona, WI 54720-2081

Mailing address

1027 5TH St E
Altoona, WI 54720-2081
Phone (715) 419-0430

Other practice location 1

704 N East St
New Auburn, WI 54757-8584
Phone (715) 237-2202

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

LicenseStateTypeSpecialty
1195-140WIMDBehavioral Analyst
6503-54WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caravel Autism Health, LLC Behavior Analyst PastSince Jun 16, 2024 Accepting new patients
New Auburn School District Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1700628476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 5TH ST E",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202081",
            "telephone_number": "715-419-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 5TH ST E",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202081",
            "telephone_number": "715-419-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 N East St",
            "address_purpose": "LOCATION",
            "city": "New Auburn",
            "state": "WI",
            "postal_code": "547578584",
            "country_code": "US",
            "telephone_number": "715-237-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "DAWN",
        "credential": "BCBA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6503-54",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1195-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.