MEDICARE: CAYDENCE ALAYN WENGER

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1891658076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAYDENCE ALAYN WENGER

Provider Business Mailing Address
First Line	:	325 3RD ST APT 7
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-3702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 3RD ST
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-3733
Country	:	US
Telephone Number	:	608-905-4040
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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