Sidney Benjamin Bulgatz

NPI #1073329652 in Lakeville, Minnesota

Provider Information

NPI Number: 1073329652
Entity Type: Individual
Name: Sidney Benjamin Bulgatz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 10450 185TH ST W STE 100
City: Lakeville
State: Minnesota
ZIP Code: 55044-6696
Phone: (612) 509-1283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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