Individual
BRITTANY WILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Mailing address
4319 S LOGAN AVE, MILWAUKEE, WI 53207-5246
(608) 354-1525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
355-140
WI
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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