Selena Marie Micallef

NPI #1407583495 in Baxter, Minnesota

Provider Information

NPI Number: 1407583495
Entity Type: Individual
Name: Selena Marie Micallef
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2022
Last Updated: Aug 1, 2022

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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