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General NPI Number Information
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NPI Number | 1477481158
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Entity Type | Organization
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Legal Business Name | AUTISM CENTER OF WISCONSIN LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | N8251 EDWIN LN
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City | BEAVER DAM
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State | WI
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Zip | 53916-9306
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Country | US
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Telephone | 815-440-6134
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Fax |
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Provider Business Mailing Address
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Address Line | N8251 EDWIN LN
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City | BEAVER DAM
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State | WI
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Zip | 53916-9306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARAH SVENDSEN
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Credential | PH.D., BCBA-D, LBA
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Telephone | 815-440-6134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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