Miranda Sue Ries

NPI #1033900485 in Woodbury, Minnesota

Provider Information

NPI Number: 1033900485
Entity Type: Individual
Name: Miranda Sue Ries
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 15, 2025
Last Updated: May 15, 2025

Practice Location

Address: 2080 WOODDALE DR STE 200
City: Woodbury
State: Minnesota
ZIP Code: 55125-2920
Phone: (651) 431-6628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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