Gabriel Matteo Brosius
Behavior Analyst in Saint Anthony, MN. Individual provider (NPI-1).
NPI number1154906014
StatusActive
Last updated in NPPESMar 12, 2021
Details
- NPI
- 1154906014
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Matteo Brosius
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Mar 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
Senzilla Health Services LLC3055 Old Hwy 8 Ste 101f
Saint Anthony, MN 55418-5541
Phone 612-259-7715 · Fax 612-259-7889
Mailing address
3055 Old Hwy 8 Suite 101fEagan, MN 55121
Phone 619-471-5686
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