Organization
EASTER SEALS SOUTHEAST WISCONSIN
Active
Parent organization
EASTER SEALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTER SEALS
Authorized official
MS. KIMBERLY JUROWSKI BCBA (BEHAVIOR ANALYST)
(262) 581-5394
Entity
Organization
Contact information
Practice address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 449-4444
Mailing address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 449-4444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BCBA 103K00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41209100
—
WI
Enumeration date
05/05/2011
Last updated
05/05/2011
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