Most Relevant Information
Provider Data
NPI Number: | 1003555012 |
Provider Name: | HELEN SMASAL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/31/2022 |
Last Updated: | 05/31/2022 |
Provider Practice Location
901 CALEDONIA ST
LA CROSSE
WI
546032616
Practice Location Phone/Fax
Phone: | 6087854100 |
Fax: |
Provider Mailing Location
14301 EWING AVE S
BURNSVILLE
MN
553064885
Provider Mailing Phone/Fax
Phone: | |
Fax: |