Hazel Grace Center for Autism
NPI #1508756230 in Clintonville, Wisconsin
Provider Information
- NPI Number
- 1508756230
- Entity Type
- Organization
- Organization Name
- Hazel Grace Center for Autism
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jul 4, 2025
- Last Updated
- Jul 4, 2025
Practice Location
- Address
- 106 LINCOLN AVE
- City
- Clintonville
- State
- Wisconsin
- ZIP Code
- 54929-1352
- Phone
- (920) 224-5048
Authorized Official
- Name
- LISA MARIE ELLICKSON-ALBERT, BCBA
- Title
- OWNER
- Phone
- (920) 224-5048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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