Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 317-140 | WI |
N | 106E00000X | Assistant Behavior Analyst | 0177825 | MI |
NPI | 1013424985 |
---|---|
Provider Name | Emily Marie Neveu |
First Address | Milwaukee, WI 53225-2711 |
Second Address | Cedarburg, WI 53012-9397 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 30/03/2020 |