Bolivar Ernesto Panchi-Arcila

NPI #1609604008 in Eagan, Minnesota

Provider Information

NPI Number: 1609604008
Entity Type: Individual
Name: Bolivar Ernesto Panchi-Arcila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 25, 2024
Last Updated: Jan 20, 2025

Practice Location

Address: 4635 NICOLS RD # 104
City: Eagan
State: Minnesota
ZIP Code: 55122-3337
Phone: (424) 296-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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