Individual
ASHLEIGH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
330 S EXECUTIVE DR STE 210, BROOKFIELD, WI 53005
(262) 737-6131
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 430-0586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
237-140
WI
Other
Enumeration date
06/27/2018
Last updated
06/29/2018
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