Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hazel Grace Center for Autism Inc

Organization Behavior Analyst · NPI 1508756230

Hazel Grace Center for Autism Inc provides Behavior Analyst services in New London, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 S Pearl St
New London, WI 54961-1861
Phone: (534) 235-9209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1508756230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Ellickson-Albert — Owner · (534) 235-9209
Other names Hazel Grace Center For Autism
NPI enumeratedJuly 4, 2025
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address712 S Pearl St, New London, WI 54961-1861

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