ENTESAR ADEM
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1336021179- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1710 DOUGLAS DR N STE 225E, GOLDEN VALLEY, MN, 554224363
- Phone
- (763) 496-8869
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
12051 NORWAY ST NW
COON RAPIDS, MN, 554482243