Lucas Axel Surratt Hybertson

NPI #1033000633 in Mendota Heights, Minnesota

Provider Information

NPI Number
1033000633
Entity Type
Individual
Name
Lucas Axel Surratt Hybertson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jul 11, 2025
Last Updated
Jul 11, 2025

Practice Location

Address
1345 MENDOTA HEIGHTS RD STE 400
ZIP Code
55120-2007
Phone
(651) 431-6628

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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