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General NPI Number Information
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NPI Number | 1871269613
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL CONSULTING SERVICES
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 1433 N. WATER STREET FLOORS 4 & 5
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City | MILWAUKEE
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State | WI
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Zip | 53202
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Country | US
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Telephone | 262-376-1223
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 953
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City | GRAFTON
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State | WI
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Zip | 53024
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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 | PRESIDENT / CEO
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Name | DR. JEAN KASKE
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Credential | PH.D.
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Telephone | 239-848-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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