Chain Of Lakes Aba Llc | |
E1775 Garfield Ln Waupaca WI 54981-8213 | |
(906) 396-5901 | |
(715) 318-0234 |
Full Name | Chain Of Lakes Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | E1775 Garfield Ln, Waupaca, Wisconsin |
Authorized Official Name and Position | Emily M Neveu (OWNER/CLINICIAN) |
Authorized Official Contact | 9063965901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chain Of Lakes Aba Llc E1775 Garfield Ln Waupaca WI 54981-8213 Ph: (906) 396-5901 | Chain Of Lakes Aba Llc E1775 Garfield Ln Waupaca WI 54981-8213 Ph: (906) 396-5901 |
NPI Number | 1295562114 |
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Provider Enumeration Date | 09/16/2024 |
Last Update Date | 09/16/2024 |
Certification Date | 09/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295562114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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