Individual
ELEANOR MANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4005 FELLAND RD STE 102, MADISON, WI 53718-6461
(608) 471-5089
Mailing address
4005 FELLAND RD STE 102, MADISON, WI 53718-6461
(608) 471-5089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1134-140
WI
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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