David Ernest Collins
Behavior Technician in Eagan, MN. Individual provider (NPI-1).
NPI number1619704533
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1619704533
- Entity type
- Individual (NPI-1)
- Name
- David Ernest Collins
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4635 Nicols Rd # 104Eagan, MN 55122-3337
Phone 612-289-6480
Mailing address
4635 Nicols Rd # 104Eagan, MN 55122-3337
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