Sally A Kubasa

NPI #1154164408 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1154164408
Entity Type: Individual
Name: Sally A Kubasa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 14, 2024
Last Updated: Jun 14, 2024

Practice Location

Address: 2645 N MAYFAIR RD STE 130
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-1304
Phone: (414) 256-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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