Brady Sowers
Behavior Technician in White Bear Lake, MN. Individual provider (NPI-1).
NPI number1124619952
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1124619952
- Entity type
- Individual (NPI-1)
- Name
- Brady Sowers
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2021
- Certification date
- Feb 3, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MN | Yes |
Practice location
1011 Meadowlands Dr Ste 1&2White Bear Lake, MN 55127-2339
Phone 612-315-1976
Mailing address
23164 E Martin Lake Dr NeStacy, MN 55079-9378
Phone 651-261-8298
Other practice locations
1470 Industrial Dr Nw
Rochester, MN 55901-0700
Rochester, MN 55901-0700
Phone 612-315-1976
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All 107 Behavior Technician providers in White Bear Lake · All 765 providers in White Bear Lake
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