Organization
AUTISM TREATMENT FOR CHILDREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL C RUDMAN PH.D., BCBA (CLINICAL PSYCHOLOGIST)
(414) 475-1896
Entity
Organization
Contact information
Practice address
2665 S MOORLAND RD STE 100, NEW BERLIN, WI 53151-2900
(414) 475-1896
(414) 988-9764
Mailing address
2665 S MOORLAND RD STE 100, NEW BERLIN, WI 53151-2900
(414) 475-1896
(414) 988-9764
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2172057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912041096
NPI #
—
05
—
39679600
—
WI
Enumeration date
07/06/2010
Last updated
09/24/2018
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