| Balanced Behavioral Services Llc | |
|
730 E Byrd St Appleton WI 54911-2815 | |
| (309) 825-9121 | |
| Not Available |
| Full Name | Balanced Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 730 E Byrd St, Appleton, Wisconsin |
| Authorized Official Name and Position | Heather Ifft (BCBA/OWNER) |
| Authorized Official Contact | 3098259121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Behavioral Services Llc 730 E Byrd St Appleton WI 54911-2815 Ph: () - | Balanced Behavioral Services Llc 730 E Byrd St Appleton WI 54911-2815 Ph: (309) 825-9121 |
| NPI Number | 1568122539 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568122539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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