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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAZEL GRACE CENTER FOR AUTISM INC.
NPI 1508756230
Behavior Analyst in New London, WI

Active since July 04, 2025
712 S PEARL ST, NEW LONDON, WI 54961(534) 235-9209 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Sep 20, 2026, Jul 4, 2025 (3 updates tracked since 2025).

About Hazel Grace Center For Autism Inc. NPPES

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

HAZEL GRACE CENTER FOR AUTISM INC. (NPI 1508756230), doing business as Hazel Grace Center For Autism, is a healthcare organization registered as a behavior analyst in New London, Wisconsin and active in the NPI registry since July 2025. The organization lists Lisa Marie Ellickson-albert, Owner, as its authorized official.

NPPES Registry Identity

NPI1508756230
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameHAZEL GRACE CENTER FOR AUTISM INC.
Location Address712 S PEARL STNew London, WI 54961-1861
Mailing Address712 S Pearl StNew London, WI 54961-1861 · (534) 235-9209
Phone(534) 235-9209
Organization SubpartNo
Authorized OfficialLisa Marie Ellickson-albertOwner · (534) 235-9209
Enumeration DateJuly 4, 2025
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1508756230 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.
712 S PEARL ST, New London, WI 54961
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Other Names 1

Doing Business AsHazel Grace Center For Autism

Other Providers at the Same Location NPPES

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

LISA ELLICKSON-ALBERT MA, BCBA
Behavior Analyst
712 S PEARL ST
NEW LONDON, WI 54961
Waupaca County (534) 235-9209

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 Hazel Grace Center For Autism Inc.'s NPI number?

The NPI number for Hazel Grace Center For Autism Inc. is 1508756230. It was assigned to this organization in the NPPES registry on July 4, 2025. The provider is doing business as Hazel Grace Center for Autism.

Where is Hazel Grace Center For Autism Inc. located?

Hazel Grace Center For Autism Inc. is located at 712 S Pearl St, New London, WI 54961. The listed phone number is (534) 235-9209.

What is Hazel Grace Center For Autism Inc.'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 Hazel Grace Center For Autism Inc. was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.