Provider Demographics
NPI:1083929749
Name:SONNENBERG CONSULTANTS LLC
Entity Type:Organization
Organization Name:SONNENBERG CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARRAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SONNENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-416-4427
Mailing Address - Street 1:2412 65TH DR
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9103
Mailing Address - Country:US
Mailing Address - Phone:414-416-4427
Mailing Address - Fax:
Practice Address - Street 1:2412 65TH DR
Practice Address - Street 2:
Practice Address - City:FRANKSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53126-9103
Practice Address - Country:US
Practice Address - Phone:414-416-4427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-08-4869103K00000X
FL1-09-5663251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2423-57OtherDR. GREGG HINTZ
IL1881835098OtherMARY CLAIRE
IL1801085915OtherMARK AMMER
WI1942534417OtherBCBA