Individual
ISABELLA RUDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
(888) 754-0398
Mailing address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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