Sarah A Nicosia

NPI #1417594698 in Plymouth, Minnesota

Provider Information

NPI Number: 1417594698
Entity Type: Individual
Name: Sarah A Nicosia
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2019
Last Updated: Dec 5, 2019

Practice Location

Address: 2600 FERNBROOK LN N STE 138
City: Plymouth
State: Minnesota
ZIP Code: 55447-4752
Phone: (952) 544-0394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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