Individual
TINA MARIE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W EXECUTIVE DR, MEQUON, WI 53092-4499
(414) 793-3001
Mailing address
6140 W EXECUTIVE DR, MEQUON, WI 53092-4499
(414) 793-3001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
103K00000X
FL
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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