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Contact Information

CENTER FOR LANGUAGE ACQUISITION AND SOCIAL SKILLS INTERVENTION, LLC
8239 W HILLVIEW DR
MEQUON, WI53097-3205
 Phone: 402-319-3770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CENTER FOR LANGUAGE ACQUISITION AND SOCIAL SKILLS INTERVENTION, LLC

NPI # 1699155648
LBN Legal business name CENTER FOR LANGUAGE ACQUISITION AND SOCIAL SKILLS INTERVENTION, LLC
Authorized official TIFFANY KODAK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2015
Last updated 06/04/2015 - About 11 years ago
Identifiers
NE License # 690
WI License # 86-140
Other 1467621425 NPPES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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