Wisconsin Early Autism Project

LBN: Chameleon Group
Wisconsin Early Autism Project is an health care organization with primary practice located at 1210 Fourier Drive Suite #100, Madison WI 53717-1969. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Chameleon Group can be contacted via phone (608) 662-9327, or through Schutt-Chardon, Kim Lauree via phone (608) 662-9327.

Contact Information

Primary practice address
1210 Fourier Drive Suite #100 Madison WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Website:
Map and Directions
Authorized official contact:
Name: Schutt-Chardon, Kim Lauree
Phone: (608) 662-9327

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X HFS 61.91 Wisconsin

Profile Details

NPI number 1043406978
LBN Legal business name Chameleon Group
DBA Doing business as Wisconsin Early Autism Project
Authorized official Schutt-Chardon, Kim Lauree
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Nov 17th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043406978 NPPES
Wisconsin MEDICAID 42223400

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