Individual
SHAWNA DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5228 WILLOWVIEW RD, CALEDONIA, WI 53402-2260
(224) 662-1199
Mailing address
5228 WILLOWVIEW RD, CALEDONIA, WI 53402-2260
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16527
WI
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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