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Michelle Bauer

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

NPI number1497522239
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1497522239
Entity type
Individual (NPI-1)
Name
Michelle Bauer
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2023
Certification date
Dec 11, 2023
Last updated
Dec 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

8980 Zachary Ln N
Maple Grove, MN 55369-4018

Phone 763-231-2000

Mailing address

8980 Zachary Ln N
Maple Grove, MN 55369-4018

Phone 763-231-2000

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