| Centerpiece | |
|
986 Lakeview Dr Green Bay WI 54313-8818 | |
| (920) 544-4970 | |
| Not Available |
| Full Name | Centerpiece |
|---|---|
| Speciality | Behavior Analyst |
| Location | 986 Lakeview Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | Janice Miles (OFFICE MANAGER/BUSINESS OWNER) |
| Authorized Official Contact | 9205444970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerpiece 986 Lakeview Dr Green Bay WI 54313-8818 Ph: () - | Centerpiece 986 Lakeview Dr Green Bay WI 54313-8818 Ph: (920) 544-4970 |
| NPI Number | 1750764478 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750764478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18671 (Wisconsin) | Primary |
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