Tayler Feigum
Behavior Technician in Plymouth, MN. Individual provider (NPI-1).
NPI number1982306767
StatusActive
Last updated in NPPESMar 17, 2023
Details
- NPI
- 1982306767
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tayler Feigum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2023
- Certification date
- Mar 17, 2023
- Last updated
- Mar 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2600 Fernbrook Ln N Ste 138Plymouth, MN 55447-4752
Phone 952-544-0349
Mailing address
2600 Fernbrook Ln N Ste 138Plymouth, MN 55447-4752
Phone 952-544-0349
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