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Sophia Ann Tikalsky

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

NPI number1104697697
StatusActive
Last updated in NPPESJan 12, 2024

Details

NPI
1104697697
Entity type
Individual (NPI-1)
Name
Sophia Ann Tikalsky
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2024
Certification date
Jan 12, 2024
Last updated
Jan 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

223 Center St
Winona, MN 55987-3595

Phone 507-474-4840

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885

Phone 952-746-5350

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