Individual
KAIYA MARIE GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
Mailing address
N6746 SUN VALLEY DR, HOLMEN, WI 54636-9478
(608) 865-1349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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