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Elizabeth Rose Flannery

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

NPI number1962077321
StatusActive
Last updated in NPPESMay 26, 2021

Details

NPI
1962077321
Entity type
Individual (NPI-1)
Name
Elizabeth Rose Flannery
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2021
Certification date
May 26, 2021
Last updated
May 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4635 Nicols Rd # 104
Eagan, MN 55122-3337

Phone 612-289-6480

Mailing address

4635 Nicols Rd # 104
Eagan, MN 55122-3337

Phone 612-289-6480

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