Individual
PAIGE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W SCOTT ST UNIT 4, FOND DU LAC, WI 54935-2342
(920) 857-9041
(920) 857-3366
Mailing address
W4629 MARYS AVE, FOND DU LAC, WI 54937-7516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1156-140
WI
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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