Active NPI
Brittnee Sue Kowalewski
- Behavior Technician
- Milwaukee, WI
National Provider Identifier
1891463279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1433 N Water St FL 4
Milwaukee, WI 53202-2557 - Phone
- (262) 902-9194
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1433 N Water St FL 4
Milwaukee, WI 53202-2557
Mailing address
1562 30TH Ave Apt 2a
Kenosha, WI 53144-3218
Phone (262) 902-9194
Other practice location 1
1433 N Water St
4th floor
kenosha, WI 53144-5314
Phone (262) 902-9194
Other practice location 2
991 Oak Creek Dr
Lombard, IL 60148-6408
Phone (847) 465-9556
Other practice location 3
1433 N Water St # 2A
Milwaukee, WI 53202-2557
Phone (262) 902-9194
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Funtastic Gymnastic LLC | Behavior Technician | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1891463279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 30TH AVE APT 2A",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531443218",
"telephone_number": "262-902-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 N WATER ST FL 4",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022557",
"telephone_number": "262-902-9194"
}
],
"practiceLocations": [
{
"address_1": "1433 N Water St",
"address_2": "4th floor",
"address_purpose": "LOCATION",
"city": "kenosha",
"state": "WI",
"postal_code": "531445314",
"country_code": "US",
"telephone_number": "262-902-9194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "991 Oak Creek Dr",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601486408",
"country_code": "US",
"telephone_number": "847-465-9556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1433 N Water St # 2A",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532022557",
"country_code": "US",
"telephone_number": "262-902-9194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOWALEWSKI",
"first_name": "BRITTNEE",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"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 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.