Provider Demographics
NPI:1427936210
Name:ALEMAN, JUAQUIN E
Entity type:Individual
Prefix:
First Name:JUAQUIN
Middle Name:E
Last Name:ALEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 MINERAL POINT RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-5124
Mailing Address - Country:US
Mailing Address - Phone:920-393-8320
Mailing Address - Fax:
Practice Address - Street 1:11709 W CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2901
Practice Address - Country:US
Practice Address - Phone:920-393-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1326679978Medicaid