Provider Demographics
NPI:1629606777
Name:MOSER, HILDA WAUJANI (RBT 19-86268)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:WAUJANI
Last Name:MOSER
Suffix:
Gender:F
Credentials:RBT 19-86268
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 108TH ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53158-5105
Mailing Address - Country:US
Mailing Address - Phone:224-480-6564
Mailing Address - Fax:
Practice Address - Street 1:1433 N WATER ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2557
Practice Address - Country:US
Practice Address - Phone:224-480-6564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-86268106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician