Madelyn Joanne Fern

NPI #1114796133 in Anoka, Minnesota

Provider Information

NPI Number: 1114796133
Entity Type: Individual
Name: Madelyn Joanne Fern
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2024
Last Updated: Jan 2, 2024

Practice Location

Address: 3401 ROUND LAKE BLVD NW
City: Anoka
State: Minnesota
ZIP Code: 55303-3315
Phone: (952) 247-3582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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