| NPI | 1124914049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE MITTELSTAEDT Owner/Director 608-805-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-11-04 |