Gennessa Orth

NPI #1285304998 in Mequon, Wisconsin

Provider Information

NPI Number
1285304998
Entity Type
Individual
Name
Gennessa Orth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Sep 14, 2021
Last Updated
Dec 4, 2023

Practice Location

Address
6140 W EXECUTIVE DRIVE
Address 2
SUITE B
City
Mequon
ZIP Code
53092-5883
Phone
(262) 788-8088

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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