| Autism And Behavior Center Inc | |
|
919 S. Hillcrest Pkwy Altoona WI 54720-2775 | |
| (715) 598-7121 | |
| (715) 598-7123 |
| Full Name | Autism And Behavior Center Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 919 S. Hillcrest Pkwy, Altoona, Wisconsin |
| Authorized Official Name and Position | Kristin M Wegner (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7155987121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism And Behavior Center Inc 919 S. Hillcrest Pkwy Altoona WI 54720-2775 Ph: (715) 598-7121 | Autism And Behavior Center Inc 919 S. Hillcrest Pkwy Altoona WI 54720-2775 Ph: (715) 598-7121 |
| NPI Number | 1952423337 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952423337 | NPI | - | NPPES |
| 40984200 | Medicaid | WI | |
| 42250800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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