Thomas Matthias Lies
Behavior Technician in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1952986366
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1952986366
- Entity type
- Individual (NPI-1)
- Name
- Thomas Matthias Lies
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2021
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
109 Doctors ParkSaint Cloud, MN 56303-1207
Phone 320-774-1908
Mailing address
109 Doctors ParkSaint Cloud, MN 56303-1207
Phone 320-774-1908
Other practice locations
108 Doctors Park
Saint Cloud, MN 56303-1207
Saint Cloud, MN 56303-1207
Phone 320-774-3915
19437 Evans St Nw
Elk River, MN 55330-1074
Elk River, MN 55330-1074
Phone 763-515-3532
205 14th Ave E
Sartell, MN 56377-4500
Sartell, MN 56377-4500
Phone 320-774-3436
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