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1376232082
LISA MARIE ELLICKSON-ALBERT
SHAWANO, WI
NPI
1376232082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: BACB711387)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
Mrs. LISA MARIE ELLICKSON-ALBERT MA, BCBA
1542 INDUSTRIAL DR
SHAWANO, WI 54166-3842
Phone number: 715-916-3889
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Mailing Address
Mrs. LISA MARIE ELLICKSON-ALBERT MA, BCBA
106 LINCOLN AVE
CLINTONVILLE, WI 54929-1352
Phone number: 920-224-5048
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