Healthcare Provider Details

I. General information

NPI: 1477481158
Provider Name (Legal Business Name): AUTISM CENTER OF WISCONSIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N8251 EDWIN LN
BEAVER DAM WI
53916-9306
US

IV. Provider business mailing address

N8251 EDWIN LN
BEAVER DAM WI
53916-9306
US

V. Phone/Fax

Practice location:
  • Phone: 815-440-6134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH SVENDSEN
Title or Position: CEO
Credential: PH.D., BCBA-D, LBA
Phone: 815-440-6134