Organization
INSPIRING MINDS - PEDIATRIC AUTISM CONSULTATION AND THERAPY, LLC
Active
Other names
IMPACT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHASIDY DAWN WILKE BCBA (OWNER / CLINIC DIRECTOR)
(715) 966-5216
Entity
Organization
Contact information
Practice address
2223 TERRACE VIEW DR APT 3A, SHEBOYGAN, WI 53081-5486
(715) 966-5216
Mailing address
2223 TERRACE VIEW DR APT 3A, SHEBOYGAN, WI 53081-5486
(715) 966-5216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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