Candace Jacalyn Fear

NPI #1316540511 in Baxter, Minnesota

Provider Information

NPI Number: 1316540511
Entity Type: Individual
Name: Candace Jacalyn Fear
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 14387 EDGEWOOD DR
City: Baxter
State: Minnesota
ZIP Code: 56425-8460
Phone: (218) 454-5181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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