Organization
CARAVEL AUTISM HEALTH, LLC
Active
Other names
Lund Van Dyke, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JOHN LUND PSY.D. BCBA ABPP (PRESIDENT/CCO)
(920) 857-2577
Entity
Organization
Contact information
Practice address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4429
WI
103TC0700X
Clinical Psychologist
1871-57
WI
Other
Enumeration date
12/11/2009
Last updated
01/14/2016
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