NPI 1023849171

Kimberly Renee Beach

Practitioner Behavior Technician Brookfield, WI

Practice location

Address: 200 N Patrick Blvd, Brookfield, WI 53045-5883
Phone: (888) 754-0398
Mailing address: W849 Primrose Rd, Genoa City, WI 53128-1647

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-312893 (WI)

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Registry record

NPI: 1023849171
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2024
Record last updated: 12 Aug 2024

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.