Individual
STEPHANIE NIEDERMAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
559 ZOR SHRINE PL, MADISON, WI 53719-2068
(608) 833-0123
Mailing address
1711 MADISON ST, MADISON, WI 53711-2123
(608) 206-3220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
137-140
WI
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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