Individual
ALICIA EHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1166 QUAIL CT, PEWAUKEE, WI 53072-3769
(920) 857-9041
(920) 857-3366
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
185
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050459
—
WI
Enumeration date
07/25/2017
Last updated
07/21/2022
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