| Faladcarellc | |
|
6043 Hudson Rd Ste 399j Woodbury MN 55125-1028 | |
| (651) 356-1180 | |
| Not Available |
| Full Name | Faladcarellc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6043 Hudson Rd Ste 399j, Woodbury, Minnesota |
| Authorized Official Name and Position | Emmanuel Oluwademilade Falade (OWNER) |
| Authorized Official Contact | 6513561180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faladcarellc 1240 Donegal Dr Woodbury MN 55125-2390 Ph: (651) 356-1180 | Faladcarellc 6043 Hudson Rd Ste 399j Woodbury MN 55125-1028 Ph: (651) 356-1180 |
| NPI Number | 1821575515 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821575515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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