Organization
MIDWEST BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHERINE A FRIEDRICH (VICE PRESIDENT)
(414) 403-0593
Entity
Organization
Contact information
Practice address
3057 N 121ST ST APT 2, WAUWATOSA, WI 53222-4048
(414) 403-0593
Mailing address
PO BOX 26312, WAUWATOSA, WI 53226-0312
(414) 403-0593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10140
WI
Other
Enumeration date
06/27/2013
Last updated
12/07/2015
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