Individual
EMILY FELLENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 VICTORY ST, LA CROSSE, WI 54601-7201
(608) 461-5206
Mailing address
1825 VICTORY ST, LA CROSSE, WI 54601-7201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
542-140
WI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/18/2020
Last updated
11/17/2023
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