Angelique Khaliah King

NPI #1003558727 in Bloomington, Minnesota

Provider Information

NPI Number: 1003558727
Entity Type: Individual
Name: Angelique Khaliah King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2022
Last Updated: Apr 12, 2022

Practice Location

Address: 9201 OLD CEDAR AVE S
City: Bloomington
State: Minnesota
ZIP Code: 55425-2401
Phone: (952) 854-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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