Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hazel Grace Center for Autism

Organization Behavior Analyst · NPI 1508756230

Hazel Grace Center for Autism is a Behavior Analyst in Clintonville, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

106 Lincoln Ave
Clintonville, WI 54929-1352
Phone: (920) 224-5048
Show map & directions

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 · (920) 224-5048
NPI enumeratedJuly 4, 2025
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address106 Lincoln Ave, Clintonville, WI 54929-1352