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Jennifer Elaine Woitalla

Behavior Technician in Elk River, MN. Individual provider (NPI-1).

NPI number1013671817
StatusActive
Last updated in NPPESOct 27, 2021

Details

NPI
1013671817
Entity type
Individual (NPI-1)
Name
Jennifer Elaine Woitalla
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2021
Certification date
Oct 27, 2021
Last updated
Oct 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

19437 Evans St Nw
Elk River, MN 55330-1074

Phone 763-515-3532

Mailing address

19437 Evans St Nw
Elk River, MN 55330-1074

Phone 763-515-3532

Other practice locations

109 Doctors Park
Saint Cloud, MN 56303-1207

Phone 320-774-1908

205 14th Ave E
Sartell, MN 56377-4500

Phone 320-774-3436

108 Doctors Park
Saint Cloud, MN 56303-1207

Phone 320-774-3915

59 Glenn Rd Nw
Alexandria, MN 56308-4007

Phone 320-219-7644

9201 Old Cedar Ave S
Bloomington, MN 55425-2401

Phone 952-854-1800

7938 College Rd
Baxter, MN 56425-8636

Phone 218-270-2918

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Elk River, MN

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