OrganizationInnovative Minds Aba Of Wisconsin, Ltd.Behavior AnalystBehavioral Health & Social Service ProvidersPractice Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889(559) 977-7321PECOS EnrollmentBased on the most recent information from CMS, provider Innovative Minds Aba Of Wisconsin, Ltd. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1093608168Provider TypeOrganizationFull NameInnovative Minds Aba Of Wisconsin, Ltd.SubpartNoEnumeration Date5/29/2025Last Updated5/29/2025Contact InformationPractice LocationPractice Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889Phone(559) 977-7321FaxUnlisted FaxMailing LocationMailing Address2800 E Enterprise Ave Ste 333, Appleton, WI 54913-7889Phone(559) 977-7321FaxUnlisted FaxAuthorized OfficialNameVue, Gina (Ceo & Bcba)Phone(559) 790-8136Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer