Emmett Small

NPI #1104649672 in Bloomington, Minnesota

Provider Information

NPI Number: 1104649672
Entity Type: Individual
Name: Emmett Small
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: 1801 AMERICAN BLVD E
City: Bloomington
State: Minnesota
ZIP Code: 55425-1232
Phone: (952) 767-2267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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