Individual
HAILEY HAUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10930 W POTTER RD, WAUWATOSA, WI 53226-3450
(262) 200-0900
Mailing address
6675 W NATIONAL AVE APT 310, MILWAUKEE, WI 53214-1299
(906) 285-4217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1421-140
WI
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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