Breanna Nicole Larsen

NPI #1467146506 in Little Canada, Minnesota

Provider Information

NPI Number: 1467146506
Entity Type: Individual
Name: Breanna Nicole Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 2, 2023
Last Updated: Jun 10, 2023

Practice Location

Address: 938 WINDROW DR
City: Little Canada
State: Minnesota
ZIP Code: 55109-1033
Phone: (653) 352-1256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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