Organization Active NPI

Great Lakes Behavior Analysis, Inc.

  • Behavior Analyst
  • Milwaukee, WI
National Provider Identifier
1881049864
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
28-140 Issued in WI
Legal business name
GREAT LAKES BEHAVIOR ANALYSIS, INC.
Practice address
3238 S 16TH St
Milwaukee, WI 53215-4535
Phone
(414) 847-5722
NPI assigned
Apr 27, 2016
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Danielle Deller
Title
President/Ceo
Phone
(262) 385-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 28-140 WI Primary

Addresses

Primary practice location

3238 S 16TH St
Milwaukee, WI 53215-4535

Mailing address

3238 S 16TH St
Milwaukee, WI 53215-4535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1881049864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-847-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES BEHAVIOR ANALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DELLER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "262-385-5907"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "28-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.