| North Star Learning And Behavior, Llc | |
|
112 Chaucer Ct Mankato MN 56001-5600 | |
| (507) 407-0326 | |
| Not Available |
| Full Name | North Star Learning And Behavior, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 112 Chaucer Ct, Mankato, Minnesota |
| Authorized Official Name and Position | Shelby Marie Wolf (CEO AND OWNER) |
| Authorized Official Contact | 4846346279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Learning And Behavior, Llc 112 Chaucer Ct Mankato MN 56001-5600 Ph: (507) 407-0326 | North Star Learning And Behavior, Llc 112 Chaucer Ct Mankato MN 56001-5600 Ph: (507) 407-0326 |
| NPI Number | 1720672793 |
|---|---|
| Provider Enumeration Date | 02/21/2021 |
| Last Update Date | 02/21/2021 |
| Certification Date | 02/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720672793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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