Nicole Angeline Jordahl
Behavior Technician in Minnetonka, MN. Individual provider (NPI-1).
NPI number1073355152
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1073355152
- Entity type
- Individual (NPI-1)
- Name
- Nicole Angeline Jordahl
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2024
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5860 Baker RdMinnetonka, MN 55345-5903
Phone 952-767-4200 · Fax 952-767-4211
Mailing address
5860 Baker RdMinnetonka, MN 55345-5903
Phone 952-767-4200 · Fax 952-767-4211
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All 393 Behavior Technician providers in Minnetonka · All 2,873 providers in Minnetonka
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