Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730828088 Individual Practitioner Female Practitioner

Amanda Grace Prusow

Behavior Analyst • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Amanda Prusow is a registered healthcare professional specializing in Behavior Analyst in Pewaukee, WI. Practice services are available at 1155 QUAIL CT STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1155 Quail Ct Ste 100

Pewaukee, WI 530723780

Telephone 2624046153

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Pewaukee, WI (861 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License WI 1282-140

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 1155 QUAIL CT STE 100, PEWAUKEE, WI 530723780 (Tel: 2624046153)

📍
Updated Business Mailing Address October 28, 2024

Registered at 2017 WOLF RD, WAUKESHA, WI 531862639 (Tel: 9208896510)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Behavior Analyst (License #1282-140 in WI)

NPI Profile Active June 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2022

Registered at 200 N PATRICK BLVD UNIT 250, BROOKFIELD, WI 530455883 (Tel: 8887540398)

📍
Updated Business Mailing Address June 02, 2022

Registered at 5200 N DIVERSEY BLVD APT 302, WHITEFISH BAY, WI 532175172 (Tel: 9208896510)

👤
Provider Name / Credentials Updated June 02, 2022

Recorded as AMANDA PRUSOW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2022

Psychologist

🟢
Initial NPI Registration & Enumeration June 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730828088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2022
Last Update: October 28, 2024
Sole Proprietor: Yes

Mailing Address

2017 Wolf Rd

Waukesha, WI 531862639

Phone: 9208896510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.