Individual
AUTUMN HOPE BONGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(920) 878-2003
Mailing address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(920) 878-2003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WI
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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