Organization
LEARNING GROVE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN EMIL THEISS (OWNER/OPERATOR)
(715) 581-5426
Entity
Organization
Contact information
Practice address
1204 WESTON AVE, ROTHSCHILD, WI 54474-1160
(715) 581-5426
Mailing address
702 8TH ST, MOSINEE, WI 54455-1311
(715) 581-5426
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
07/08/2024
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