Whalio Doctors

NPI 1588993091

Caravel Autism Health, LLC

Organisation Behavior Analyst Green Bay, WI

Practice location

Address
1575 Allouez Ave, Green Bay, WI 54311-5639
Phone
(920) 857-9041
Fax
(920) 857-3366

Authorised official

Name
Eric John Lund
Title
President/Cco
Phone
(920) 857-2577

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-08-4429 (WI)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1871-57 (WI)

Registry record

NPI
1588993091
Entity type
Organization
NPI issued
11 Dec 2009
Record last updated
14 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.