Individual
MACIE BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 S TAYLOR DR, SHEBOYGAN, WI 53081-4766
(920) 710-6867
Mailing address
W3272 STARDUST LN, SHEBOYGAN FALLS, WI 53085-2417
(920) 645-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/28/2021
Last updated
12/20/2024
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