Most Relevant Information
Provider Data
NPI Number: | 1003392945 |
Provider Name: | MELISSA GERBER BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 243-140 |
Most Important Dates
Enumeration Date: | 07/13/2018 |
Last Updated: | 05/07/2019 |
Provider Practice Location
3113 W BELTLINE HWY STE 300
MADISON
WI
537132934
Practice Location Phone/Fax
Phone: | 6088196810 |
Fax: | 2242581400 |
Provider Mailing Location
221 N GJERTSON ST
STOUGHTON
WI
535892035
Provider Mailing Phone/Fax
Phone: | 6084385368 |
Fax: |