Individual
TAYLOR NICOLE AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
559 ZOR SHRINE PL, MADISON, WI 53719-2068
(920) 857-9041
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
374-140
WI
Other
Enumeration date
07/24/2020
Last updated
01/09/2024
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