MR. Van Dyke Kofi Noah

NPI #1619410412 in Eagan, Minnesota

Provider Information

NPI Number: 1619410412
Entity Type: Individual
Name: MR. Van Dyke Kofi Noah
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 28, 2016
Last Updated: Nov 28, 2016

Practice Location

Address: 4836 SAFARI PASS
City: Eagan
State: Minnesota
ZIP Code: 55122-2663
Phone: (952) 846-8047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Respite Care	385H00000X

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