Active NPI
Great Lakes Behavior Analysis, Inc.
- Behavior Analyst
- Milwaukee, WI
National Provider Identifier
1881049864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 28-140
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Behavior Analyst
- Milwaukee, WI
- NPI 1942534417
-
- Behavior Analyst
- Cedarburg, WI
- NPI 1013424985
-
- Behavior Analyst
- Milwaukee, WI
- NPI 1760088298
-
- Behavior Analyst
- Milwaukee, WI
- NPI 1447038237
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.