Individual
MADISON ELIZABETH KANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
21370 CAMBRIDGE CIRCLE LOWER, BROOKFIELD, WI 53045-3205
(404) 804-6572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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