Active NPI
Karl Zimmerman
- Behavior Analyst
- Sussex, WI
National Provider Identifier
1821497074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB267055
- Practice address
- N64W24180 Main St
Sussex, WI 53089-3004 - Phone
- (719) 313-6124
- NPI assigned
- Aug 13, 2014
- 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 | BACB267055 | WI | Primary |
Addresses
Primary practice location
N64W24180 Main St
Sussex, WI 53089-3004
Mailing address
N64W24180 Main St
Sussex, WI 53089-3004
Phone (719) 313-6124
Other practice location 1
1408 8th St
Alamogordo, NM 88310-5115
Phone (866) 273-2451
Other practice location 2
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (510) 268-8120
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB267055 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Change Institute, LLC. | Behavior Analyst | Past | Accepting new patients |
| Wiebusch & Nicholson Center for Autism, Inc. | Past | Accepting new patients | |
| Pediatric Neuropsychology and Treatment Associates, SC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Child & Adolescent Psychologist
- Pewaukee, WI
- NPI 1326265448
-
- Community/Behavioral Health Agency
- Pewaukee, WI
- NPI 1407073505
-
- Community/Behavioral Health Agency
- Alamogordo, NM
- NPI 1730517889
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1821497074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N64W24180 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893004",
"telephone_number": "719-313-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N64W24180 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893004",
"telephone_number": "719-313-6124"
}
],
"practiceLocations": [
{
"address_1": "1408 8th St",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883105115",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Concord Ave Ste 185",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945205006",
"country_code": "US",
"telephone_number": "510-268-8120",
"fax_number": "510-373-1738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "KARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "BACB267055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.