Individual
KASSIDY DYANNE ASHBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N 6TH ST, MILWAUKEE, WI 53203-2703
(414) 288-6187
Mailing address
1725 E KANE PL APT 107, MILWAUKEE, WI 53202-1748
(715) 889-4537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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