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Individual provider · Behavior Technician · St Paul, MN

NPI
1598366775
Type
Individual (Type 1)
Primary specialty
Behavior Technician
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106S00000X
Sex
Male
Sole proprietor
Yes
Enumerated
2020-11-04
Last updated
2020-11-04
Practice location
2430 University Ave W
St Paul, MN 55114
(612) 644-3501

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