Individual
ANASTASIA L WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0394
Mailing address
625 W BROWN ST, MILWAUKEE, WI 53212-3629
(262) 351-2003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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