Deandra Martin
Behavior Technician in Arden Hills, MN. Individual provider (NPI-1).
NPI number1104615293
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1104615293
- Entity type
- Individual (NPI-1)
- Name
- Deandra Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2025
- Certification date
- May 5, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4255 Lexington Ave NArden Hills, MN 55126-6164
Phone 952-746-5350
Mailing address
14301 Ewing Ave SBurnsville, MN 55306-4885
Phone 952-746-5350
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Other Behavior Technician providers in Arden Hills, MN
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All 281 Behavior Technician providers in Arden Hills · All 541 providers in Arden Hills
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