Michele La Rae Stanek

NPI #1083202667 in Baxter, Minnesota

Provider Information

NPI Number: 1083202667
Entity Type: Individual
Name: Michele La Rae Stanek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 8, 2021
Last Updated: Jan 8, 2021

Practice Location

Address: 14387 EDGEWOOD DR
City: Baxter
State: Minnesota
ZIP Code: 56425-8460
Phone: (218) 454-5181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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