Individual
MAETHA RENEE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 AMS CT, HOWARD, WI 54313-9704
(920) 504-3386
Mailing address
397 HOGANWOOD CIR, SOBIESKI, WI 54171-9521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74453
WI
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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