Search › Wisconsin › 103K00000X
Katharine Tackaberry, MS, BCBA
NPI 1558801365 · on the registry since 2017
Practice
- Address
- 1141 W Main Ave
200
De Pere, WI 54115 - Phone
- (920) 338-1610
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin