Nicole Weber
Behavior Technician in Hermantown, MN. Individual provider (NPI-1).
NPI number1124875208
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1124875208
- Entity type
- Individual (NPI-1)
- Name
- Nicole Weber
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 6, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4140 Richard Ave Ste 200300Hermantown, MN 55811-2869
Phone 218-520-3411
Mailing address
4140 Richard AveHermantown, MN 55811-2869
Phone 218-520-3411
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All 191 Behavior Technician providers in Hermantown · All 401 providers in Hermantown
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