| Alliant Behavioral Pediatrics | |
|
201 W Travelers Trl Suite 212 Burnsville MN 55337-2550 | |
| (651) 295-7440 | |
| (612) 437-4499 |
| Full Name | Alliant Behavioral Pediatrics |
|---|---|
| Speciality | Psychologist |
| Location | 201 W Travelers Trl, Burnsville, Minnesota |
| Authorized Official Name and Position | Jami J Hughes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6512957440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliant Behavioral Pediatrics 201 W Travelers Trl Suite 212 Burnsville MN 55337-2550 Ph: (651) 295-7440 | Alliant Behavioral Pediatrics 201 W Travelers Trl Suite 212 Burnsville MN 55337-2550 Ph: (651) 295-7440 |
| NPI Number | 1932486057 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932486057 | NPI | - | NPPES |
| 0BI29HU | Other | MN | BCBS-MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-12557 (Florida) | Secondary |
| 103T00000X | Psychologist | 5121 (Minnesota) | Primary |
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