Individual
KRISTIN PAULINE HELMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
559 ZOR SHRINE PL, MADISON, WI 53719-2068
(608) 833-0123
Mailing address
1024 AVON ST, LA CROSSE, WI 54603-2503
(847) 363-7328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
149-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22078
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
149-140
STATE LICENSE
WI
Enumeration date
05/12/2016
Last updated
05/12/2016
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