| Midwest Behavioral Consulting | |
|
3057 N 121st St Apt 2 Wauwatosa WI 53222-4048 | |
| (414) 403-0593 | |
| Not Available |
| Full Name | Midwest Behavioral Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3057 N 121st St Apt 2, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Katherine A Friedrich (VICE PRESIDENT) |
| Authorized Official Contact | 4144030593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Behavioral Consulting Po Box 26312 Wauwatosa WI 53226-0312 Ph: (414) 403-0593 | Midwest Behavioral Consulting 3057 N 121st St Apt 2 Wauwatosa WI 53222-4048 Ph: (414) 403-0593 |
| NPI Number | 1043650666 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043650666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 10140 (Wisconsin) | Primary |
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