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General NPI Number Information
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NPI Number | 1124914049
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Entity Type | Organization
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Legal Business Name | CHRISTL KLEAR CONSULTING & LEARNING CENTERS LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1375 E MAIN ST
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City | REEDSBURG
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State | WI
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Zip | 53959-1498
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Country | US
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Telephone | 608-805-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 1375 E MAIN ST
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City | REEDSBURG
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State | WI
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Zip | 53959-1498
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Country | US
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Telephone | 608-805-1066
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | LORRIE MITTELSTAEDT
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Credential | SLP, BCBA
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Telephone | 608-805-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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