Individual
JAMIE RAE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13100 W LISBON RD STE 600, BROOKFIELD, WI 53005-2509
(414) 207-4175
Mailing address
N27W23953 PAUL RD STE 206, PEWAUKEE, WI 53072-6244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
187-140
WI
Other
Enumeration date
07/21/2017
Last updated
10/11/2024
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