| Moon Autism Center | |
|
609 S Meadowbrook Ln Waunakee WI 53597-2829 | |
| (720) 441-8288 | |
| Not Available |
| Full Name | Moon Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 609 S Meadowbrook Ln, Waunakee, Wisconsin |
| Authorized Official Name and Position | Suzanne Juzwik (OWNER) |
| Authorized Official Contact | 3104882814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Autism Center 609 S Meadowbrook Ln Waunakee WI 53597-2829 Ph: () - | Moon Autism Center 609 S Meadowbrook Ln Waunakee WI 53597-2829 Ph: (720) 441-8288 |
| NPI Number | 1225789001 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225789001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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