Learning Grove Aba Llc | |
1204 Weston Ave Rothschild WI 54474-1160 | |
(715) 581-5426 | |
Not Available |
Full Name | Learning Grove Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1204 Weston Ave, Rothschild, Wisconsin |
Authorized Official Name and Position | Ian Emil Theiss (OWNER/OPERATOR) |
Authorized Official Contact | 7155815426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Learning Grove Aba Llc 702 8th St Mosinee WI 54455-1311 Ph: (715) 581-5426 | Learning Grove Aba Llc 1204 Weston Ave Rothschild WI 54474-1160 Ph: (715) 581-5426 |
NPI Number | 1578305686 |
---|---|
Provider Enumeration Date | 06/10/2024 |
Last Update Date | 07/08/2024 |
Certification Date | 07/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578305686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |