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Individual

NICOLLE K OPELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS., BCBA

Contact information

Practice address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
(888) 754-0398
Mailing address
N105W14725 LINCOLN DR, GERMANTOWN, WI 53022-4392

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1153140
WI
106S00000X
Behavior Technician

Other

Enumeration date
06/16/2020
Last updated
10/29/2025
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