Amanda Grace Prusow

Behavior Analyst · Pewaukee, WI

Individual Active NPI

NPI number 1730828088

Practice location

1155 Quail Ct Ste 100
Pewaukee, WI 53072-3780
Phone
(262) 404-6153

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NPI record

NPI
1730828088
Entity type
Individual (Type 1)
Enumeration date
June 2, 2022
Last updated
October 28, 2024
Certified
October 22, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1282-140 WI

Mailing address

2017 Wolf Rd
Waukesha, WI 53186-2639
Phone
(920) 889-6510

About Amanda Prusow

Amanda Grace Prusow is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1155 Quail Ct Ste 100, Pewaukee, WI 53072-3780. The NPI number 1730828088 was assigned on June 2, 2022 and the record was last updated on October 28, 2024.

Amanda Prusow lists a license in the registry: #1282-140 (WI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Grace Prusow?

The NPI number is 1730828088.

What is the phone number of Amanda Prusow?

The phone number listed for the practice location is (262) 404-6153.

Where is Amanda Prusow located?

1155 Quail Ct Ste 100, Pewaukee, WI 53072-3780.

What is the taxonomy code for Amanda Prusow?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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