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Individual

KELLY RIEDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS., BCBA

Contact information

Practice address
2418 CROSSROADS DR STE 1600, MADISON, WI 53718-2420
(608) 960-8921
Mailing address
261 MEADOW DR, GENOA CITY, WI 53128-1977
(262) 370-6635

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
327-140
WI

Other

Enumeration date
01/19/2015
Last updated
01/06/2020
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