Individual
GABRIELLA THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1204 WESTON AVE, ROTHSCHILD, WI 54474-1160
(715) 204-7570
(715) 273-7090
Mailing address
702 8TH ST, MOSINEE, WI 54455-1311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
412-140
WI
Other
Enumeration date
02/09/2021
Last updated
12/16/2024
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