Fahrenholz, Anney Renee
Fahrenholz, Anney Renee is an sole proprietor health care provider with primary practice located at 510 E Wisconsin Ave , Appleton WI 54911-4865. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Fahrenholz, Anney Renee can be contacted via phone (920) 257-4601.Contact Information
Primary practice address
510 E Wisconsin Ave
Appleton WI 54911-4865
Phone: (920) 257-4601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 154-140 | Wisconsin |
Profile Details
| NPI number | 1720522550 |
|---|---|
| LBN Legal business name | Fahrenholz, Anney Renee |
| Credentials | M.S., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Dec 13th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720522550 | NPPES |
| Wisconsin | MEDICAID | 100009466 |
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