Jessica Groth

NPI #1104435692 in Plymouth, Minnesota

Provider Information

NPI Number: 1104435692
Entity Type: Individual
Name: Jessica Groth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 30, 2020
Last Updated: May 15, 2021

Practice Location

Address: 3007 HARBOR LN N STE 1200
City: Plymouth
State: Minnesota
ZIP Code: 55447-5103
Phone: (612) 445-8314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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