Individual
OLIVIA BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 350-3027
Mailing address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 350-3027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1336-140
WI
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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