Inspiring Minds - Pediatric Autism Consultation And Therapy, LLC
Behavior Analyst in Sheboygan, WI. Organization (NPI-2).
NPI number1609412667
StatusActive
Last updated in NPPESJun 11, 2026
Details
- NPI
- 1609412667
- Entity type
- Organization (NPI-2)
- Legal business name
- Inspiring Minds - Pediatric Autism Consultation And Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2019
- Certification date
- Jun 11, 2026
- Last updated
- Jun 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Impact, LLC (Doing Business As)
Practice location
2125 S Business DrSheboygan, WI 53081-5656
Phone 920-395-2105 · Fax 920-395-1666
Mailing address
2125 S Business DrSheboygan, WI 53081-5656
Phone 920-395-2105 · Fax 920-395-1666
Authorized official
Chasidy Dawn Wilke
Owner / Clinic Director
7159665216
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