Individual
DR. WENDY ANN MACHALICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
37080 WALLACE CREEK RD, SPRINGFIELD, OR 97478-9575
(608) 320-6028
Mailing address
37080 WALLACE CREEK RD, SPRINGFIELD, OR 97478-9575
(608) 320-6028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10167657
OR
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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