Individual
KORI DANIELLE DOFFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
10930 W POTTER RD STE A, WAUWATOSA., WI 53226-3450
(262) 200-0900
Mailing address
10930 W POTTER RD STE A, WAUWATOSA, WI 53226-3450
(262) 501-8861
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1033-140
WI
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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