NPI 1013339639

Melissa Roth Doornek, BCBA

Practitioner Behavior Analyst Delafield, WI

Practice location

Address: 3215 Golf Rd STE 117, Delafield, WI 53018-2157
Phone: (262) 672-6882
Mailing address: 304 Reeds Dr, West Bend, WI 53095-3522

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 178-140 (WI)

Other Behavior Analyst providers in Wisconsin →

Registry record

NPI: 1013339639
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2014
Record last updated: 3 May 2019

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.