Individual
JACOB STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 W LOOMIS RD STE 400, FRANKLIN, WI 53132-9083
(833) 646-3222
Mailing address
142 E 16TH ST APT 12E, NEW YORK, NY 10003-3507
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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