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General NPI Number Information
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NPI Number | 1700400348
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Entity Type | Organization
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Legal Business Name | SSAIL CENTER INC
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 525 N 6TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53203-2703
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Country | US
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Telephone | 608-385-6615
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Fax |
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Provider Business Mailing Address
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Address Line | 2905 BAYSHORE DR N
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City | LA CROSSE
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State | WI
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Zip | 54603-1054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, CLINICAL DIRECTOR
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Name | DR. STEPHANIE A HOOD
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Credential | PH.D., BCBA-D
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Telephone | 608-385-6615
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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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