SIDNEY BENJAMIN BULGATZ
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1073329652- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10450 185TH ST W STE 100, LAKEVILLE, MN, 550446696
- Phone
- (612) 509-1283
Specialties & Taxonomies
Behavior Technician
Primary License: MN