Individual
KAYANNA KAPKE
Active
Sole proprietor
No
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
2718 BRISTOL CT, WAUKESHA, WI 53188-1339
(414) 412-1179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1121-140
WI
106S00000X
Behavior Technician
RBT-20-140674
WI
Other
Enumeration date
01/26/2021
Last updated
07/28/2023
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