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Individual

LINDSAY DETIENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 N SUNNY SLOPE RD STE 100, BROOKFIELD, WI 53005-4806
(262) 432-5600
Mailing address
150 N SUNNY SLOPE RD STE 100, BROOKFIELD, WI 53005-4806
(262) 432-5600

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
341-140
WI
106S00000X
Behavior Technician

Other

Enumeration date
02/19/2020
Last updated
03/10/2021
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