Individual
ELISE JORDEN EBERHADRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 BRIDLE RD, WARRENS, WI 54666-7610
(608) 696-9325
(608) 506-1114
Mailing address
3722 BRIDLE RD, WARRENS, WI 54666-7610
(651) 442-3402
(608) 506-1114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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