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

Amanda Grace Prusow

Individual provider Behavior Analyst · NPI 1730828088

Amanda Grace Prusow is a Behavior Analyst in Pewaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1155 Quail Ct Ste 100
Pewaukee, WI 53072-3780
Phone: (262) 404-6153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1282-140 (WI)

Record details

NPI number1730828088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESOctober 28, 2024
Certification dateOctober 22, 2024
Mailing address2017 Wolf Rd, Waukesha, WI 53186-2639

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