Fantasia More
Behavior Technician in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1003676487
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1003676487
- Entity type
- Individual (NPI-1)
- Name
- Fantasia More
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3111 124th Ave Nw Ste 150Coon Rapids, MN 55433-4581
Phone 763-272-5877
Mailing address
3111 124th Ave Nw Ste 150Coon Rapids, MN 55433-4581
Phone 763-272-5877
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All 248 Behavior Technician providers in Coon Rapids · All 2,183 providers in Coon Rapids
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