Individual
JACQUELYN LEIGH JANAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
753 GENEVAPKWY N, LAKE GENEVA, WI 53147
(262) 217-7916
Mailing address
N2419 MARIONDALE RD, BURLINGTON, WI 53105-9011
(815) 219-8880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
532-140
WI
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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