Individual
EMILY ANN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Mailing address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1215-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111721
—
WI
Enumeration date
04/25/2021
Last updated
05/23/2024
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