ELAINE GRACE BERGHUIS RBT
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1659112175- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RBT
- Status
- Active
Contact & Location
- Address
- 2080 WOODDALE DR STE 200, WOODBURY, MN, 551252920
- Phone
- (612) 201-2468
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
13653 TERRITORIAL RD APT 116
MAPLE GROVE, MN, 553697904