Mandy Bercian Dubovanova

NPI #1174397830 in Eagan, Minnesota

Provider Information

NPI Number: 1174397830
Entity Type: Individual
Name: Mandy Bercian Dubovanova
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2023
Last Updated: Nov 15, 2023

Practice Location

Address: 4635 NICOLS RD STE 104
City: Eagan
State: Minnesota
ZIP Code: 55122-3337
Phone: (651) 900-2210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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