Kalie Medrano

NPI #1104665009 in Mequon, Wisconsin

Provider Information

NPI Number: 1104665009
Entity Type: Individual
Name: Kalie Medrano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 21, 2024
Last Updated: May 21, 2024

Practice Location

Address: 10400 N BAEHR RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-4472
Phone: (833) 646-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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