Nicole Gerogeorge
Behavior Technician in Minnetonka, MN. Individual provider (NPI-1).
NPI number1699354571
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1699354571
- Entity type
- Individual (NPI-1)
- Name
- Nicole Gerogeorge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MN | Yes |
Practice location
10273 Yellow Circle DrMinnetonka, MN 55343-9144
Phone 612-746-7270 · Fax 612-509-6689
Mailing address
10273 Yellow Circle DrMinnetonka, MN 55343-9144
Phone 952-401-9359
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All 393 Behavior Technician providers in Minnetonka · All 2,873 providers in Minnetonka
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