Individual
ELIZABETH M KNIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
1653 N PROSPECT AVE APT 311, MILWAUKEE, WI 53202-2473
(414) 303-9793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077748
—
WI
Enumeration date
04/06/2021
Last updated
04/06/2021
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