Larissa Rose Meyer, MT-BC

NPI #1376183723 in Rogers, Minnesota

Provider Information

NPI Number: 1376183723
Entity Type: Individual
Name: Larissa Rose Meyer, MT-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: MT-BC
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 14000 NORTHDALE BLVD STE A
City: Rogers
State: Minnesota
ZIP Code: 55374-4663
Phone: (763) 428-2478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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