MEDICARE: LAUREN VONRUEDEN

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1730837840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN VONRUEDEN

Provider Business Mailing Address
First Line	:	411 WISCONSIN DR APT 305
Second Line	:
City	:	JEFFERSON
State	:	WI
Zip	:	53549-1489
Country	:	US
Telephone Number	:	920-253-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N PATRICK BLVD STE 250
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5883
Country	:	US
Telephone Number	:	888-754-0398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	12/29/2025

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Directions to “ LAUREN VONRUEDEN ” Practice Location

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