Healthcare Provider Details

I. General information

NPI: 1700400348
Provider Name (Legal Business Name): SSAIL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 N GREEN BAY AVE STE 5
GLENDALE WI
53209-2800
US

IV. Provider business mailing address

5001 W PARKVIEW DR
MEQUON WI
53092-2028
US

V. Phone/Fax

Practice location:
  • Phone: 262-232-4964
  • Fax: 414-797-0043
Mailing address:
  • Phone: 262-232-4964
  • Fax: 414-797-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEPHANIE A HOOD
Title or Position: CEO, CLINICAL DIRECTOR
Credential: PH.D., BCBA-D
Phone: 262-232-4964