Individual
KARLY WOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4797 W GRANDE MARKET DR, APPLETON, WI 54913-8411
(920) 815-3873
Mailing address
N9594 COUNTY ROAD PP, BRILLION, WI 54110
(920) 360-1361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1093140
WI
Other
Enumeration date
08/28/2020
Last updated
01/22/2024
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