Center for Language Acquisition and Social Skills Intervention, LLC

NPI #1699155648 in Mequon, Wisconsin

Provider Information

NPI Number: 1699155648
Entity Type: Organization
Organization Name: Center for Language Acquisition and Social Skills Intervention, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 4, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 8239 W HILLVIEW DR
City: Mequon
State: Wisconsin
ZIP Code: 53097-3205
Phone: (402) 319-3770

Authorized Official

Name: DR. TIFFANY KODAK, PH.D.
Title: EXECUTIVE DIRECTOR
Phone: (402) 319-3770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Behavior Analyst	103K00000X	Primary

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