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1497388342
LINDSAY DETIENNE
BROOKFIELD, WI
NPI
1497388342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WI 341-140)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-02-19
Last Update Date
2021-03-10
Business Address
LINDSAY DETIENNE
150 N SUNNY SLOPE RD STE 100
BROOKFIELD, WI 53005-4806
Phone number: 262-432-5600
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Mailing Address
LINDSAY DETIENNE
150 N SUNNY SLOPE RD STE 100
BROOKFIELD, WI 53005-4806
Phone number: 262-432-5600
Copy
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