# LISA WENNINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043180045
- **Gender:** F
- **Credential:** MA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | RBT-23-301847 | WI | Yes |

## Other

- **Enumeration date:** 11/06/2025
- **Last updated:** 11/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100244580 | — | WI |