Tyler Short

NPI #1033944947 in Bloomington, Minnesota

Provider Information

NPI Number: 1033944947
Entity Type: Individual
Name: Tyler Short
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 3, 2024
Last Updated: Sep 3, 2024

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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