Autism Behavioral Network

LBN: Pediatric Psychology Associates Llc
Autism Behavioral Network is an health care organization with primary practice located at 3636 N 124Th St 3Rd Floor, Wauwatosa WI 53222-2125. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Pediatric Psychology Associates Llc can be contacted via phone (414) 476-9755, or through Pritzl, Tracy R via phone (414) 476-9755.

Contact Information

Primary practice address
3636 N 124Th St 3Rd Floor Wauwatosa WI 53222-2125
Phone: (414) 476-9755
Fax: (414) 476-3413
Website:
Map and Directions
Authorized official contact:
Name: Pritzl, Tracy R PSYD, BCBA-D
Phone: (414) 476-9755

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 613 057 Wisconsin

Profile Details

NPI number 1124193065
LBN Legal business name Pediatric Psychology Associates Llc
DBA Doing business as Autism Behavioral Network
Authorized official Pritzl, Tracy R PSYD, BCBA-D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Sep 27th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124193065 NPPES
Wisconsin MEDICAID 42212500

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