| Skills Autism Therapy House Llc | |
|
1323 N 68th St Milwaukee WI 53213-2801 | |
| (651) 235-9451 | |
| Not Available |
| Full Name | Skills Autism Therapy House Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1323 N 68th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Michael Fondungallah (HUMAN RESOURCES AND LEGAL MANAGER) |
| Authorized Official Contact | 6512359451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skills Autism Therapy House Llc 1323 N 68th St Milwaukee WI 53213-2801 Ph: (651) 235-9451 | Skills Autism Therapy House Llc 1323 N 68th St Milwaukee WI 53213-2801 Ph: (651) 235-9451 |
| NPI Number | 1184295842 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184295842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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