NPI 1063395077

Grace Lillian Lange

Practitioner Behavior Technician Verona, WI

Practice location

Address: 901 Whalen Rd, Verona, WI 53593-1765
Phone: (608) 229-1643

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Wisconsin →

Registry record

NPI: 1063395077
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2025
Record last updated: 28 Jul 2025

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.