Breanna Rose Kaiser, BCBA
Individual provider Active NPI Behavior Analyst · Brillion, WI
NPI 1740075944 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1740075944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 232 W Water St
Brillion, WI 54110-1255 - Phone
- (920) 875-5287
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
232 W Water St
Brillion, WI 54110-1255
Mailing address
232 W Water St
Brillion, WI 54110-1255
Other providers in Brillion, WI
- Groskopp Chiropractic, SC
- William Charles Groskopp
- David R Johnson
- Joint School District No 2 Co City & Town of Brillion
- Micah Juedes
- Emma Knier
- Courtney Koffarnus
- Janet A Matuszak
- Michael J Micksch
- Paula Montes Fuentes
All providers in Brillion, WI · Behavior Analyst in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.