ELIZABETH WYNGAARD
NPI 1275121352
Behavior Analyst in Green Bay, WI

NPI Status: Active since January 05, 2021

Contact Information

2331 VELP AVE STE H
GREEN BAY, WI
ZIP 54303
Phone: (920) 309-6594

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  • Individual
  • Female
  • Behavior Analyst

About ELIZABETH WYNGAARD

This page provides the complete NPI Profile along with additional information for Elizabeth Wyngaard, a provider established in Green Bay, Wisconsin with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1275121352 assigned on January 2021. The practitioner's primary taxonomy code is 103K00000X with license number 1288-140 (WI). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1275121352
Provider Name
ELIZABETH WYNGAARD
Other Name
ELIZABETH DIELS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2331 VELP AVE STE H GREEN BAY, WI 54303
Location Phone
(920) 309-6594
Mailing Address
2331 VELP AVE STE H GREEN BAY, WI 54303
Mailing Phone
(920) 309-6594
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2021
Last Update Date
06-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
1288-140
License State
WI
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275121352
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145222310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 2 + 2 + 2 + 3 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1275121352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003639014FLOURISH ABA LLC
Organization
Behavior Analyst2331 VELP AVE STE H
GREEN BAY, WI 54303
(920) 676-2609
1578194148 JENNA RYCZEK BCBA
Individual
Behavior Analyst2331 VELP AVE STE H
GREEN BAY, WI 54303
(920) 676-2609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275121352, enumerated in the NPI registry as an "individual" on January 05, 2021

The provider is located at 2331 Velp Ave Ste H Green Bay, Wi 54303 and the phone number is (920) 309-6594

The provider's speciality is Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on January 05, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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