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Individual
LISA WENNINGER
Active
Individual
LISA WENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301847
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244580
—
WI
Enumeration date
11/06/2025
Last updated
11/06/2025
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