Dylan Jordan Bogotty

NPI #1689370892 in Crystal, Minnesota

Provider Information

NPI Number
1689370892
Entity Type
Individual
Name
Dylan Jordan Bogotty
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 31, 2023
Last Updated
Jan 31, 2023

Practice Location

Address
4825 58TH AVE N
ZIP Code
55429-2821
Phone
(701) 213-0726

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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