Individual
MRS. THERESA BILGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
123 N OAKLAND AVE, GREEN BAY, WI 54303-2831
(920) 770-4088
Mailing address
430 KIMBERLY DR APT 13, WAUKESHA, WI 53188-3329
(262) 302-1112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
325-140
WI
Other
Enumeration date
01/03/2019
Last updated
02/02/2023
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