Individual
LAILA WHORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
6305 W PORT AVE, MILWAUKEE, WI 53223-4121
(414) 943-1774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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