Annie O'Neill
Behavior Technician in Woodbury, MN. Individual provider (NPI-1).
NPI number1104590983
StatusActive
Last updated in NPPESAug 4, 2021
Details
- NPI
- 1104590983
- Entity type
- Individual (NPI-1)
- Name
- Annie O'Neill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Aug 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
721 Commerce DriveWoodbury, MN 55125
Phone 651-424-4000
Mailing address
721 Commerce DriveWoodbury, MN 55125
Phone 651-424-4000
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