Individual
HANNAH MARIE EFFERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
525 N 6TH ST, MILWAUKEE, WI 53203-2703
(715) 419-2314
Mailing address
115 SILVER LAKE PLZ APT 212, OCONOMOWOC, WI 53066-6811
(715) 419-2314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
321
WI
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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