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LACEY DEITELHOFF
NPI 1114754009
Behavior Analyst in Reedsburg, WI

Active since September 16, 2024
1375 E MAIN ST, REEDSBURG, WI 53959(608) 415-4449(608) 415-4469 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Sep 16, 2024 (2 updates tracked since 2024).

About Lacey Deitelhoff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY DEITELHOFF (NPI 1114754009) is an individual behavior analyst provider in Reedsburg, Wisconsin and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1114754009
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameLACEY DEITELHOFF
Location Address1375 E MAIN STReedsburg, WI 53959-1498
Mailing Address1375 E Main StReedsburg, WI 53959-1498 · (608) 415-4449 · Fax (608) 415-4469
Phone(608) 415-4449
Fax(608) 415-4469
Sole ProprietorNo
Enumeration DateSeptember 16, 2024
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1114754009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1375 E MAIN ST, Reedsburg, WI 53959
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Other Names 1

Former Name (1)Lacey Russell

Other Identifiers 1

Medicaid100082081WI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTL KLEAR CONSULTING & LEARNING CENTERS LLC
Community/Behavioral Health
1375 E MAIN ST
REEDSBURG, WI 53959
Sauk County (608) 805-1066
MRS. LORRIE L MITTELSTAEDT M.S., CCC-SLP, BCBA
Behavior Analyst
1375 E MAIN ST
REEDSBURG, WI 53959
Sauk County (608) 805-1066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Deitelhoff's NPI number?

The NPI number for Lacey Deitelhoff is 1114754009. It was assigned to this individual provider in the NPPES registry on September 16, 2024. The provider is also known as Lacey Russell.

Where is Lacey Deitelhoff located?

Lacey Deitelhoff practices at 1375 E Main St, Reedsburg, WI 53959. The listed phone number is (608) 415-4449.

What is Lacey Deitelhoff's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Lacey Deitelhoff was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.