NPI 1336807460

Angela Moeller

Practitioner Behavior Technician Waukesha, WI

Practice location

Address: 1501 Airport Rd, Waukesha, WI 53188-2461
Phone: (262) 366-3017

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1336807460
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2021
Record last updated: 6 Dec 2021

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.