Individual
AVA M SCACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N SUPERIOR AVE STE 2, TOMAH, WI 54660-1589
(608) 205-8860
(608) 506-1114
Mailing address
601 N SUPERIOR AVE STE 2, TOMAH, WI 54660-1589
(608) 205-8860
(608) 506-1114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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