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Autumn Leigh Lake
Student in an Organized Health Care Education/Training Program in Oconto Falls, Wisconsin
NPI 1437738374

Autumn Leigh Lake is a Student in an Organized Health Care Education/Training Program based in Oconto Falls, WI. Autumn Leigh Lake practices in Oconto Falls, WI. The NPI Number for Autumn Leigh Lake is 1437738374 and holds a License No. RBT21159367 (Wisconsin).

The current practice location address for Autumn Leigh Lake is 4340 Elm Lawn Rd, Oconto Falls, WI and can be reached out via phone at 920-944-9373.

Location: 4340 Elm Lawn Rd, Oconto Falls, WI, 54154-9656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437738374
Provider Name
Autumn Leigh Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
4340 Elm Lawn Rd, Oconto Falls, WI, 54154-9656
Phone Number
920-944-9373
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4340 Elm Lawn Rd
City
Oconto Falls
State
Wisconsin
Zip
54154-9656
Phone Number
920-944-9373
Fax Number
person
Provider Business Mailing Address Details
Address
4340 Elm Lawn Rd
City
Oconto Falls
State
Wisconsin
Zip
54154-9656
Phone Number
920-944-9373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RBT21159367 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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