Individual
STEPHANIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013
Mailing address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1534140
WI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
04/22/2026
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