Healthcare Provider Details
I. General information
NPI: 1598699381
Provider Name (Legal Business Name): JOURNEY TOGETHER ABA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6080 S 108TH ST STE 2
HALES CORNERS WI
53130-2557
US
IV. Provider business mailing address
6080 S 108TH ST STE 2
HALES CORNERS WI
53130-2557
US
V. Phone/Fax
- Phone: 224-406-0559
- Fax:
- Phone: 224-406-0559
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LUKE
BAKER
Title or Position: CHIEF CLINICAL OFFICER
Credential: M.S., BCBA
Phone: 224-406-0559