Individual
ALEXANDRA DAWN NIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HERD CERTIFIED
Contact information
Practice address
N4689 MEADE ST, APPLETON, WI 54913-9545
(920) 850-8176
Mailing address
N4689 MEADE ST, APPLETON, WI 54913-9545
(920) 850-8176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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