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400 S 4th St Ste 410 Minneapolis MN 55415-1419 | |
| (612) 444-6661 | |
| (833) 392-1148 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 400 S 4th St Ste 410, Minneapolis, Minnesota |
| Authorized Official Name and Position | Benjamin Hsu (CO-FOUNDER) |
| Authorized Official Contact | 5712444592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 S 4th St Ste 410 Minneapolis MN 55415-1419 Ph: (612) 444-6661 | 400 S 4th St Ste 410 Minneapolis MN 55415-1419 Ph: (612) 444-6661 |
| NPI Number | 1922694728 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922694728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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