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Organization
CARAVEL AUTISM HEALTH, LLC
Active
Organization
CARAVEL AUTISM HEALTH, LLC
Active
Other names
Lund Van Dyke, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JOHN LUND PSY.D. BCBA ABPP (PRESIDENT/CCO)
(920) 857-2577
Entity
Organization
Contact information
Practice address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4429
WI
103TC0700X
Clinical Psychologist
1871-57
WI
Other
Enumeration date
12/11/2009
Last updated
01/14/2016
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