Individual
MISTYLEE CHESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD, BROOKFIELD, WI 53045-5883
(414) 296-5440
Mailing address
200 N PATRICK BLVD, BROOKFIELD, WI 53045-5883
(414) 296-5440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093569
—
WI
Enumeration date
01/27/2021
Last updated
01/27/2021
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