Most Relevant Information
Provider Data
| NPI Number: | 1003664178 |
| Provider Name: | MORGAN MAITLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
1499 6TH ST
GREEN BAY
WI
543042252
Practice Location Phone/Fax
| Phone: | 9204980117 |
| Fax: | 8884930447 |
Provider Mailing Location
1499 6TH ST
GREEN BAY
WI
543042252
Provider Mailing Phone/Fax
| Phone: | 9204980117 |
| Fax: | 8884930447 |