Individual
NICOLE A STOTZHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1141 W MAIN AVE STE 201, DE PERE, WI 54115-1695
(920) 338-1610
(920) 338-1616
Mailing address
1210 FOURIER DR STE 100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
289-140
WI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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