| Autism Treatment For Children, Llc | |
|
2665 S Moorland Rd Ste 100 New Berlin WI 53151-2900 | |
| (414) 475-1896 | |
| (414) 988-9764 |
| Full Name | Autism Treatment For Children, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2665 S Moorland Rd Ste 100, New Berlin, Wisconsin |
| Authorized Official Name and Position | Jill C Rudman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4144751896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Treatment For Children, Llc 2665 S Moorland Rd Ste 100 New Berlin WI 53151-2900 Ph: (414) 475-1896 | Autism Treatment For Children, Llc 2665 S Moorland Rd Ste 100 New Berlin WI 53151-2900 Ph: (414) 475-1896 |
| NPI Number | 1952613069 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952613069 | NPI | - | NPPES |
| 39679600 | Medicaid | WI | |
| 1912041096 | Other | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2172057 (Wisconsin) | Primary |
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