Matthew Lauren Powell
Behavior Technician in Minneapolis, MN. Individual provider (NPI-1).
NPI number1003568601
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1003568601
- Entity type
- Individual (NPI-1)
- Name
- Matthew Lauren Powell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2022
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3333 University Ave SeMinneapolis, MN 55414-3325
Phone 612-331-9413
Mailing address
3333 University Ave SeMinneapolis, MN 55414-3325
Phone 612-331-9413
Is something wrong?
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