Sequoia R Crushshon
Behavior Technician in Eden Prairie, MN. Individual provider (NPI-1).
NPI number1235937731
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1235937731
- Entity type
- Individual (NPI-1)
- Name
- Sequoia R Crushshon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2025
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7615 Golden Triangle DrEden Prairie, MN 55344-3733
Phone 952-767-5900
Mailing address
7615 Golden Triangle DrEden Prairie, MN 55344-3733
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