Individual
BROOKE E BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, RBT, MSW
Contact information
Practice address
N4103 DAM RD, DELAVAN, WI 53115-2979
(262) 441-1198
Mailing address
N4103 DAM RD, DELAVAN, WI 53115-2979
(262) 441-1198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
132848-121
WI
Other
Enumeration date
09/02/2020
Last updated
10/06/2025
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