Thalia C Noegroho - Madison, WI

Thalia C Noegroho

Physician Assistant in Madison, Wisconsin

NPI 1598229965

Thalia C Noegroho is a Physician Assistant based in Madison, WI. Thalia C Noegroho practices in Madison, WI. The NPI Number for Thalia C Noegroho is 1598229965 and holds a License No. (Wisconsin).

The current practice location address for Thalia C Noegroho is 700 S Park St Ste A, Madison, WI and can be reached out via phone at 608-260-2900 and via fax at 608-260-2976.

Location: 700 S Park St Ste A, Madison, WI, 53715-1830

NPI Number

1598229965

Provider Name

Thalia C Noegroho

Credential

Provider Entity Type

Individual

Gender

Female

Address

700 S Park St Ste A, Madison, WI, 53715-1830

Phone Number

608-260-2900

Fax Number

608-260-2976

Provider Enumeration Date

01/29/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1598229965	05	WI

Address

700 S Park St Ste A

City

Madison

State

Wisconsin

Zip

53715-1830

Phone Number

608-260-2900

Fax Number

608-260-2976

Address

700 S Park St Ste A

City

Madison

State

Wisconsin

Zip

53715-1830

Phone Number

608-260-2900

Fax Number

608-260-2976

Type

Behavioral Health & Social Service Providers

Classification

Behavior Technician

Speciality

Taxonomy

106S00000X

License No.

5844-23 (Wisconsin)

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Taxonomy

363A00000X

License No.

()

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

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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