Individual
EMILY ROSKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5625
(192) 036-7891
Mailing address
3245 RIVERSIDE DR APT 4, GREEN BAY, WI 54301-1656
(920) 450-5934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
05/22/2026
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