Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA GRACE PRUSOW
Active Sole ProprietorAMANDA GRACE PRUSOW is a Behavior Analyst healthcare provider located in PEWAUKEE, Wisconsin. NPI 1730828088 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PEWAUKEE, WI
Registration Details
- NPI Number
- 1730828088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2022 (4.161540434472 yrs)
- Last Updated
- Oct 28, 2024
- License
-
1282-140 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1155 QUAIL CT STE 100PEWAUKEE, WI, 530723780Browse WI providers · Browse ZIP 53072
- Phone
- 2624046153
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in PEWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| SUSAN JENNIFER NICHOLSON | BCBA | 1043698897 |
| MS. KATERINA ELIZABETH ROCKWELL | M.A., BCBA | 1588043525 |
| ALICIA EHLEN | BCBA | 1962925602 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.