Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Grace Wog

Individual provider Behavior Technician · NPI 1558092130

Madison Grace Wog is a Behavior Technician in LA Crosse, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

901 Caledonia St
LA Crosse, WI 54603-2616
Phone: (608) 785-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558092130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address14301 Ewing Ave S, Burnsville, MN 55306-4885

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