PHILLIP STUTZMAN (NPI# 1124533914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124533914 |
| Entity Type | Individual |
| Full Name | PHILLIP STUTZMAN |
| Credential | BCBA |
| Practice Address |
4125 N 124th St Ste A Brookfield WI 53005-1837 |
| Mailing Address |
6720 W English Meadows Dr Apt K104 Greenfield WI 53220-3978 |
| Practice Telephone | 4147632341 |
| Mailing Telephone | 4148287778 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2017-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 201-140 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100050272 | 05 |
| Street Address |
4125 N 124TH ST STE A |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| 1821651290 | Melinda Schmeling | Behavioral Analyst | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2019-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1114560372 | Ashley Krznar | Behavioral Analyst | 7051 Fairview Ave, Brookfield, OH 44403-9754 | 2019-10-21 |
| 1578045464 | Kara Louise Michael | Behavioral Analyst | 163 Candlewood Lake Rd, Brookfield, CT 06804-2104 | 2018-09-06 |
| 1205324738 | Danielle Mroz | Behavioral Analyst | 4125 N 124th St Ste A&b, Brookfield, WI 53005-1837 | 2018-04-30 |
| 1104326461 | Jocelin Marie Hyatt | Behavioral Analyst | 330 S Executive Dr Ste 210, Brookfield, WI 53005-4274 | 2018-02-13 |
| 1902263874 | Jenifer T Peralta Mercado | Behavioral Analyst | 3 Ashwood Ln, Brookfield, CT 06804-3239 | 2016-01-24 |
| 1669843173 | April Halfpenny | Behavioral Analyst | 3136 Maple Ave, Brookfield, IL 60513-1237 | 2015-10-09 |
| 1760813885 | Keri Spielmann | Behavioral Analyst | 50 Longview Dr, Brookfield, CT 06804-1434 | 2013-12-01 |
| 1164761136 | Michelle L Burr | Behavioral Analyst | 150 N Sunny Slope Rd Ste 100, Brookfield, WI 53005-4806 | 2013-02-11 |
| 1205188521 | Molly Reilly | Behavioral Analyst | 57 Obtuse Hill Rd, Brookfield, CT 06804-3038 | 2012-10-10 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.