Individual
JENNA K AVERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
(608) 785-4101
Mailing address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
(608) 785-4101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
33-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-7467
BEHAVIOR ANALYST CERTIFICATION BOARD, INC
—
Enumeration date
10/12/2011
Last updated
01/30/2017
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