Individual
CARISSA LEBSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
(920) 351-3043
Mailing address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
(920) 351-3043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
301140
WI
Other
Enumeration date
03/25/2019
Last updated
05/25/2023
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