Amy Fogal

NPI #1174264220 in Hermantown, Minnesota

Provider Information

NPI Number: 1174264220
Entity Type: Individual
Name: Amy Fogal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 4140 RICHARD AVE STE 200
City: Hermantown
State: Minnesota
ZIP Code: 55811-3309
Phone: (218) 520-3412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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