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Individual

MICHAEL HEIBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
569 CARTER CT, KIMBERLY, WI 54136-2201
(920) 739-3009
Mailing address
569 CARTER CT, KIMBERLY, WI 54136-2201
(920) 739-3009

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
207-140
WI

Other

Enumeration date
10/19/2015
Last updated
08/06/2019
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