| Vocational Development Group, Llc | |
|
200 N Patrick Blvd Ste 250 Brookfield WI 53045-5883 | |
| (888) 754-0398 | |
| Not Available |
| Full Name | Vocational Development Group, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 200 N Patrick Blvd Ste 250, Brookfield, Wisconsin |
| Authorized Official Name and Position | Ashley Desanctis (REGIONAL CLINICAL INTEGRITY OFFICER) |
| Authorized Official Contact | 8887540398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vocational Development Group, Llc 200 N Patrick Blvd Ste 250 Brookfield WI 53045-5883 Ph: (888) 754-0398 | Vocational Development Group, Llc 200 N Patrick Blvd Ste 250 Brookfield WI 53045-5883 Ph: (888) 754-0398 |
| NPI Number | 1174115174 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174115174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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