Individual
JAIDA M VIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 STATE 69, NEW GLARUS, WI 53574
(608) 921-9976
Mailing address
605 S CROSBY AVE, JANESVILLE, WI 53548-4428
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
V200-4330-2960-04
WI
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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