Individual
PIYAPORN MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
530 PLAZA DR APT 104, MADISON, WI 53719-3853
(608) 422-3575
Mailing address
530 PLAZA DR APT 104, MADISON, WI 53719-3853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171-140
WI
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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