Healthcare Provider Details

I. General information

NPI: 1235773318
Provider Name (Legal Business Name): NATALIE NICOLE WEBER M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3363 N 93RD ST
MILWAUKEE WI
53222-3512
US

IV. Provider business mailing address

3363 N 93RD ST
MILWAUKEE WI
53222-3512
US

V. Phone/Fax

Practice location:
  • Phone: 815-501-0141
  • Fax:
Mailing address:
  • Phone: 815-501-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1216-140
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: