NPI | 1255661120 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY A COWLEY Co Owner, Behavior Analyst 715-299-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist |
251S00000X Community/Behavioral Health (Licence: WI 2328-57) | |
Enumeration Date | 2009-12-28 |
Last Update Date | 2025-06-05 |