| Starlight Centers For Inclusion Inc. | |
|
555 Enterprise Way Eagle River WI 54521-5504 | |
| (608) 317-6711 | |
| Not Available |
| Full Name | Starlight Centers For Inclusion Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 555 Enterprise Way, Eagle River, Wisconsin |
| Authorized Official Name and Position | April Leanna (BCBA) |
| Authorized Official Contact | 6083176711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Centers For Inclusion Inc. Po Box 351 Woodruff WI 54568-0351 Ph: () - | Starlight Centers For Inclusion Inc. 555 Enterprise Way Eagle River WI 54521-5504 Ph: (608) 317-6711 |
| NPI Number | 1104273044 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104273044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 81140 (Wisconsin) | Primary |
Northwest Journey - Rhinelander Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Fifth Street, Eagle River, WI 54521 Phone: 715-365-9735 Fax: 888-226-8713 |