Individual
DR. KEVIN P KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2028 HIGH POINT DR, ALTOONA, WI 54720-3506
(715) 852-0112
Mailing address
2028 HIGH POINT DR, ALTOONA, WI 54720-3506
(715) 852-0112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1 01 0398
BEHAVIOR ANALYSIS CERTIFICATION BOARD
WI
01
—
5-140
DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
02/23/2010
Last updated
10/25/2010
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