Larry Jayden Bales

NPI #1053038299 in Burnsville, Minnesota

Provider Information

NPI Number
1053038299
Entity Type
Individual
Name
Larry Jayden Bales
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 27, 2022
Last Updated
Oct 27, 2022

Practice Location

Address
427 WEST TRAVELERS TRAIL
ZIP Code
55337
Phone
(952) 247-2954

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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