Individual
SALLY A KUBASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6737 W WASHINGTON ST STE 3115, WEST ALLIS, WI 53214-5651
(414) 256-0077
(414) 256-0090
Mailing address
6737 W WASHINGTON ST STE 3115, WEST ALLIS, WI 53214-5651
(414) 256-0077
(414) 256-0090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1243-140
WI
Other
Enumeration date
06/14/2024
Last updated
08/10/2026
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