Modern Therapy Services LLC

NPI #1245103225 in Lakeville, Minnesota

Provider Information

NPI Number: 1245103225
Entity Type: Organization
Organization Name: Modern Therapy Services LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 25, 2025
Last Updated: Sep 25, 2025

Practice Location

Address: 20731 HOLYOKE AVE STE 209
City: Lakeville
State: Minnesota
ZIP Code: 55044-9825
Phone: (612) 900-5128

Authorized Official

Name: FEISAL SHAKIR GEDI
Title: DIRECTOR/CEO
Phone: (612) 900-5128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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