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Stella Mae Callesen

Behavior Technician in Mequon, WI. Individual provider (NPI-1).

NPI number1548024706
StatusActive
Last updated in NPPESFeb 8, 2024

Details

NPI
1548024706
Entity type
Individual (NPI-1)
Name
Stella Mae Callesen
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2024
Certification date
Feb 8, 2024
Last updated
Feb 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6140 W Executive Dr Ste B
Mequon, WI 53092-4499

Phone 888-754-0398

Mailing address

6140 W Executive Dr Ste B
Mequon, WI 53092-4499

Phone 888-754-0398

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