Individual
TAYLOR RAE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 CAHILL MAIN, SUITE 204, FITCHBURG, WI 53711-7130
(608) 819-6810
(608) 819-6811
Mailing address
2990 CAHILL MAIN, SUITE 204, FITCHBURG, WI 53711-7130
(608) 819-6810
(608) 819-6811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220-140
WI
Other
Enumeration date
10/02/2013
Last updated
02/28/2018
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