Individual
ANDREA VERHAGEN AZNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BTT
Contact information
Practice address
1800 S LAWE ST, APPLETON, WI 54915-2473
(920) 262-1998
Mailing address
1800 S LAWE ST, APPLETON, WI 54915-2473
(920) 262-1998
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187749
—
WI
Enumeration date
02/20/2023
Last updated
02/20/2023
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