Active NPI
Sandy Awwad
- Behavior Analyst
- Brookfield, WI
National Provider Identifier
1831840057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 480140
- Practice address
- 200 N Patrick Blvd # 250
Brookfield, WI 53045-5883 - Phone
- (888) 754-0398
- NPI assigned
- Jan 11, 2022
- 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 | 480140 | WI | Primary |
Addresses
Primary practice location
200 N Patrick Blvd # 250
Brookfield, WI 53045-5883
Mailing address
2321 W Birchwood Ave
Milwaukee, WI 53221-4267
Phone (414) 722-2316
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 |
|---|---|---|---|
| 480140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1831840057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 W BIRCHWOOD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532214267",
"telephone_number": "414-722-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N PATRICK BLVD # 250",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455883",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWWAD",
"first_name": "SANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "480140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.