| Forward Integrated Services, Inc. | |
|
N60w24717 Rocky Hollow Pass Sussex WI 53089-5018 | |
| (608) 620-1958 | |
| Not Available |
| Full Name | Forward Integrated Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | N60w24717 Rocky Hollow Pass, Sussex, Wisconsin |
| Authorized Official Name and Position | Susan J Nicholson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2622327713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Integrated Services, Inc. N60w24717 Rocky Hollow Pass Sussex WI 53089-5018 Ph: () - | Forward Integrated Services, Inc. N60w24717 Rocky Hollow Pass Sussex WI 53089-5018 Ph: (608) 620-1958 |
| NPI Number | 1548982101 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548982101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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