Individual provider Active NPI

Danielle Jean Brodsko, MS, BCBA

  • Behavior Analyst
  • Milwaukee, WI
National Provider Identifier
1942534417
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
Practice address
3238 S 16TH St
Milwaukee, WI 53215-4535
Phone
(414) 847-5722
Fax
(414) 433-5722
NPI assigned
Sep 30, 2009
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

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
Phone (414) 847-5722

Other identifiers 1

IdentifierTypeStateIssuer
100054043MedicaidWI

Other names 1

  • Danielle Deller Former name

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 Science

State licenses

LicenseStateTypeSpecialty
28-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Behavior Analysis, Inc. Behavior Analyst Current Accepting new patients

Locations

3238 S 16th St
Milwaukee, WI 53215
Phone (414) 643-4430

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1942534417",
    "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",
            "telephone_number": "414-847-5722",
            "fax_number": "414-433-5722"
        },
        {
            "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",
            "fax_number": "414-433-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKO",
        "first_name": "DANIELLE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "28-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054043",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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.