MRS. THERESA BILGO (NPI# 1871066696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871066696 |
| Entity Type | Individual |
| Full Name | MRS. THERESA BILGO |
| Credential | MA, BCBA |
| Practice Address |
123 N Oakland Ave Green Bay WI 54303-2831 |
| Mailing Address |
430 Kimberly Dr Apt 13 Waukesha WI 53188-3329 |
| Practice Telephone | 9207704088 |
| Mailing Telephone | 2623021112 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | 325-140 | WI | Behavioral Health & Social Service Providers |
| Street Address |
123 N OAKLAND AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332718 | Shannon Lee Wyman Kenevan | Counselor | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-28 |
| 1629683958 | Stephanie O'connor | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-14 |
| 1164077103 | Chloe Anderson | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-08-06 |
| 1053973909 | Breana Pickard | Counselor | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| 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 |
|---|---|---|---|---|
| 1093118317 | Brittany Leigh-byrne Cahill | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2014-10-01 |
| 1891302196 | Katrina Verhagen | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-30 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1821654971 | Robyn Albright | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2019-05-14 |
| 1275098550 | Jennifer Kerelko | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2019-01-31 |
| 1588139323 | Carly Preissner | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2018-10-08 |
| 1285117333 | Jessica June Demeuse | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2018-09-13 |
| 1114416047 | Shantel Crownover | Behavioral Analyst | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2018-05-07 |
| 1205335171 | Kelly J Smith | Behavioral Analyst | 986 Lakeview Dr, Green Bay, WI 54313-8818 | 2018-02-06 |
| 1669982443 | Jamee Buck | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2017-10-05 |
| Find all providers in GREEN BAY | ||||
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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.