Individual
ROGER KYLE CALDWELL-CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA, CSAC
Contact information
Practice address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(262) 641-9790
Mailing address
720 N OLD WORLD 3RD ST APT 1103, MILWAUKEE, WI 53203-2242
(414) 902-3932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17123-132
WI
103K00000X
Behavior Analyst
253-140
WI
Other
Enumeration date
10/25/2018
Last updated
09/17/2024
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