Individual
MISS TASHA MARIE RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 494-4444
Mailing address
401 W WALWORTH ST, ELKHORN, WI 53121-1640
(715) 829-1549
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118091
BCBA
WI
Enumeration date
07/27/2011
Last updated
07/27/2011
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