Queen Banor

NPI #1659128130 in Inver Grove, Minnesota

Provider Information

NPI Number: 1659128130
Entity Type: Individual
Name: Queen Banor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 4865 BABCOCK TRL APT 104
City: Inver Grove
State: Minnesota
ZIP Code: 55077-1254
Phone: (952) 201-5777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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