Whalen, Andrea Koepke

Whalen, Andrea Koepke is an individual health care provider with primary practice located at 1210 Fourier Dr Suite #100, Madison WI 53717-1969. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Whalen, Andrea Koepke can be contacted via phone (608) 662-9327.

Contact Information

Primary practice address
1210 Fourier Dr Suite #100 Madison WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 89-140 Wisconsin

Profile Details

NPI number 1023491545
LBN Legal business name Whalen, Andrea Koepke
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Jul 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023491545 NPPES
Wisconsin Other 89-140 WI LICENSE

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