| Center For Language Acquisition And Social Skills Intervention, Llc | |
|
8239 W Hillview Dr Mequon WI 53097-3205 | |
| (402) 319-3770 | |
| Not Available |
| Full Name | Center For Language Acquisition And Social Skills Intervention, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8239 W Hillview Dr, Mequon, Wisconsin |
| Authorized Official Name and Position | Tiffany Kodak (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4023193770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Language Acquisition And Social Skills Intervention, Llc 8239 W Hillview Dr Mequon WI 53097-3205 Ph: (402) 319-3770 | Center For Language Acquisition And Social Skills Intervention, Llc 8239 W Hillview Dr Mequon WI 53097-3205 Ph: (402) 319-3770 |
| NPI Number | 1699155648 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699155648 | NPI | - | NPPES |
| 1467621425 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 86-140 (Wisconsin) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 690 (Nebraska) | Secondary |
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