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NPI Code Detail

MEDICARE: ELIZABETH HINTZ BCBA

MEDICARE: ELIZABETH HINTZ BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1001-140WI

General Provider Information

NPI Number : 1417681628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HINTZ BCBA
Provider Business Mailing Address
First Line : 1320 S 1ST ST UNIT 218
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W HISTORIC MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3307
Country : US
Telephone Number : 414-251-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/13/2022

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