Individual ProviderKarly WoldtBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address4797 W Grande Market Dr, Appleton, WI 54913-8411(920) 815-3873(920) 360-1361PECOS EnrollmentBased on the most recent information from CMS, provider Karly Woldt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225641301Provider TypeIndividualFull NameWoldt, KarlyCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date8/28/2020Last Updated1/22/2024Contact InformationPractice LocationPractice Address4797 W Grande Market Dr, Appleton, WI 54913-8411Phone(920) 815-3873FaxUnlisted FaxMailing LocationMailing AddressN9594 County Road Pp, Brillion, WI 54110Phone(920) 360-1361FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1093140Wisconsin