Individual
SARAH LAUTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
3636 N 124TH ST, WAUWATOSA, WI 53222-2125
(414) 476-9755
Mailing address
3636 N 124TH ST, WAUWATOSA, WI 53222-2125
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
125-140
WI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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