Bailey Lynn Rupert

NPI #1164152351 in Lakeville, Minnesota

Provider Information

NPI Number: 1164152351
Entity Type: Individual
Name: Bailey Lynn Rupert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 12, 2022
Last Updated: Jun 12, 2022

Practice Location

Address: 10450 185TH ST W STE 100
City: Lakeville
State: Minnesota
ZIP Code: 55044-6696
Phone: (612) 294-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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