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HAZEL GRACE CENTER FOR AUTISM
NPI 1508756230
Behavior Analyst in Clintonville, WI

Active since July 04, 2025
106 LINCOLN AVE, CLINTONVILLE, WI 54929(920) 224-5048 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazel Grace Center For Autism NPPES

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

HAZEL GRACE CENTER FOR AUTISM (NPI 1508756230) is a healthcare organization registered as a behavior analyst in Clintonville, 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
Location Address106 LINCOLN AVEClintonville, WI 54929-1352
Mailing Address106 Lincoln AveClintonville, WI 54929-1352 · (920) 224-5048
Phone(920) 224-5048
Organization SubpartNo
Authorized OfficialLisa Marie Ellickson-albertOwner · (920) 224-5048
Enumeration DateJuly 4, 2025
NPPES CertifiedJuly 4, 2025
✔ 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.
106 LINCOLN AVE, Clintonville, WI 54929
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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

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's NPI number?

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

Where is Hazel Grace Center For Autism located?

Hazel Grace Center For Autism is located at 106 Lincoln Ave, Clintonville, WI 54929. The listed phone number is (920) 224-5048.

What is Hazel Grace Center For Autism'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 was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.