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NPI Code Detail

MEDICARE: KIMBERLEE BISONETTE

MEDICARE: KIMBERLEE BISONETTE
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
1106S00000XBehavior TechnicianWI

General Provider Information

NPI Number : 1659217107
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEE BISONETTE
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1433 N WATER ST STE 400
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2603
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ KIMBERLEE BISONETTE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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