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Individual

MADELINE RAE PROKASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6191 S 108TH ST STE B, HALES CORNERS, WI 53130-2524
(414) 475-1896
(414) 988-9764
Mailing address
6191 S 108TH ST STE B, HALES CORNERS, WI 53130-2524
(414) 475-1896
(414) 988-9764

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/15/2024
Last updated
04/23/2024
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