Autumn Leigh Lake

NPI #1437738374 in Oconto Falls, Wisconsin

Provider Information

NPI Number: 1437738374
Entity Type: Individual
Name: Autumn Leigh Lake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 7, 2021
Last Updated: Jun 29, 2023

Practice Location

Address: 4340 ELM LAWN RD
City: Oconto Falls
State: Wisconsin
ZIP Code: 54154-9656
Phone: (920) 944-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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