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Michelle Lee Anderson

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

NPI number1558141010
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1558141010
Entity type
Individual (NPI-1)
Name
Michelle Lee Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2023
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7938 College Rd
Baxter, MN 56425-8636

Phone 218-270-2918

Mailing address

7938 College Rd
Baxter, MN 56425-8636

Phone 218-270-2918

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