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Ella Gorgan

Behavior Analyst β€’ Oconomowoc, WI

Active NPI 1851752851 Individual Practitioner Female Practitioner
Practice location in NPPES

36100 Genesee Lake Rd
Oconomowoc, WI 530669201

Call 2624704544 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

36100 Genesee Lake Rd

Oconomowoc, WI 530669201

Telephone 2624704544
Organization at the Same NPPES Address or Phone
Oconomowoc Developmental Training Center Of Wisconsin Llc Facility NPI 1720117583

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mequon, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oconomowoc and Wisconsin

1 active clinicians are listed under Behavior Analyst with a practice address in Oconomowoc, WI (858 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES WI 193-140

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Secondary Practice Locations

8239 W Hillview Dr

Mequon, WI 530973205

Phone: 4142297383

8239 W Hillview Dr

Mequon, WI 530973205

Phone: 4142297383

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Behavior Analyst

βœ…
NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 15, 2017

Registered at 36100 GENESEE LAKE RD, OCONOMOWOC, WI 530669201 (Tel: 2624704544)

πŸ“
Updated Business Mailing Address November 15, 2017

Registered at N114W15928 SYLVAN CIR APT 210, GERMANTOWN, WI 530223391

πŸ‘€
Provider Name / Credentials Updated November 15, 2017

Recorded as ELLA GORGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Behavior Analyst (license number reported to NPPES: WI 193-140)

βœ…
NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2016

Registered at 8239 W HILLVIEW DR, MEQUON, WI 530973205 (Tel: 4142297383)

πŸ“
Business Mailing Address (Initial Record) March 18, 2016

Registered at 8239 W HILLVIEW DR, MEQUON, WI 530973205

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2016

Recorded as ELLA GORGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration March 18, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1851752851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2016
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

N114w15928 Sylvan Cir Apt 210

Germantown, WI 530223391

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.