| Learning Grove Aba Llc | |
|
1204 Weston Ave Rothschild WI 54474-1160 | |
| (715) 581-5426 | |
| Not Available |
| Full Name | Learning Grove Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1204 Weston Ave, Rothschild, Wisconsin |
| Authorized Official Name and Position | Ian Emil Theiss (OWNER/OPERATOR) |
| Authorized Official Contact | 7155815426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Learning Grove Aba Llc 702 8th St Mosinee WI 54455-1311 Ph: (715) 581-5426 | Learning Grove Aba Llc 1204 Weston Ave Rothschild WI 54474-1160 Ph: (715) 581-5426 |
| NPI Number | 1578305686 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578305686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |