Individual
LISA KRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4125 N 124TH ST STE A&B, BROOKFIELD, WI 53005-1837
(414) 763-2341
Mailing address
1961 S 72ND ST, WEST ALLIS, WI 53219-1206
(414) 243-4334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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