Individual provider Active NPI

Theresa Bilgo, MA, BCBA, LBA

  • Behavior Analyst
  • Waukesha, WI
National Provider Identifier
1871066696
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401003495 Issued in MI
Practice address
2014 Rambling Rose Rd
Waukesha, WI 53186-2863
Phone
(262) 302-1112
NPI assigned
Jan 3, 2019
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X 7401003495 MI Primary

Addresses

Primary practice location

2014 Rambling Rose Rd
Waukesha, WI 53186-2863

Mailing address

2014 Rambling Rose Rd
Waukesha, WI 53186-2863
Phone (262) 302-1112

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7401003495MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Power for Change, LLC CurrentSince Oct 17, 2021 Accepting new patients

Locations

123 N Oakland Ave
Green Bay, WI 54303
Phone (920) 770-4088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1871066696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 RAMBLING ROSE RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862863",
            "telephone_number": "262-302-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 RAMBLING ROSE RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862863",
            "telephone_number": "262-302-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILGO",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401003495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.