Individual
ELISHA HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
500 AMS CT, GREEN BAY, WI 54313-9704
(920) 544-4970
Mailing address
N18242 MONSON LAKE RD, PEMBINE, WI 54156-9312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1418-140
WI
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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