Healthcare Provider Details

I. General information

NPI: 1932012085
Provider Name (Legal Business Name): JENNA MARIE STRAUCH M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4797 W GRANDE MARKET DR
APPLETON WI
54913-8411
US

IV. Provider business mailing address

N9264 BREEZY WAY
APPLETON WI
54915-4630
US

V. Phone/Fax

Practice location:
  • Phone: 920-843-0494
  • Fax:
Mailing address:
  • Phone: 920-843-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: