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AUTISM BEHAVIORAL NETWORK
NPI 1124193065
Psychologist - Clinical in Wauwatosa, WI

Active since November 22, 2006
3636 N 124TH ST, 3RD FLOOR, WAUWATOSA, WI 53222(414) 476-9755(414) 476-3413 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autism Behavioral Network NPPES

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

AUTISM BEHAVIORAL NETWORK (NPI 1124193065) is a healthcare organization registered as a clinical in Wauwatosa, Wisconsin and active in the NPI registry since November 2006. The organization lists Tracy R Pritzl, Director Owner, as its authorized official.

NPPES Registry Identity

NPI1124193065
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePEDIATRIC PSYCHOLOGY ASSOCIATES LLC
Location Address3636 N 124TH ST, 3RD FLOORWauwatosa, WI 53222-2125
Mailing Address3636 N 124th St, 3rd FloorWauwatosa, WI 53222-2125 · (414) 476-9755 · Fax (414) 476-3413
Phone(414) 476-9755
Fax(414) 476-3413
Organization SubpartNo
Authorized OfficialTracy R PritzlDirector Owner · (414) 476-9755
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 27, 2016
✔ NPI 1124193065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 613 057
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3636 N 124TH ST, Wauwatosa, WI 53222
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Other Names 1

Doing Business AsAutism Behavioral Network

Other Identifiers 1

Medicaid42212500WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Other Providers at the Same Location NPPES 4

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

JAMES JEFFREY CRISCO PH.D.
Psychologist (Clinical Child & Adolescent)
3636 N 124TH ST, SUITE 200
WAUWATOSA, WI 53222
Milwaukee County (414) 476-9755
DR. TRACY RENEE PRITZL PSY.D, BCBA-D
Psychologist (Clinical)
3636 N 124TH ST, SUITE 200
WAUWATOSA, WI 53222
Milwaukee County (414) 476-9755
STEPHANIE A. KING BCBA, LPC-IT
Behavior Analyst
3636 N 124TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 476-9755
SARAH LAUTERBACH M.ED, BCBA
Behavior Analyst
3636 N 124TH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 476-9755

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 Pediatric Psychology Associates LLC's NPI number?

The NPI number for Pediatric Psychology Associates LLC is 1124193065. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Autism Behavioral Network.

Where is Pediatric Psychology Associates LLC located?

Pediatric Psychology Associates LLC is located at 3636 N 124th St 3rd Floor, Wauwatosa, WI 53222. The listed phone number is (414) 476-9755.

What is Pediatric Psychology Associates LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Pediatric Psychology Associates LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Pediatric Psychology Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Psychology Associates LLC was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.