Sharon Brianna Gangstad

NPI #1831714864 in Rogers, Minnesota

Provider Information

NPI Number: 1831714864
Entity Type: Individual
Name: Sharon Brianna Gangstad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 16, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 14000 NORTHDALE BLVD STE A
City: Rogers
State: Minnesota
ZIP Code: 55374-4663
Phone: (763) 428-2478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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