Sophia Jane Exsted, AA

NPI #1902497480 in Baxter, Minnesota

Provider Information

NPI Number: 1902497480
Entity Type: Individual
Name: Sophia Jane Exsted, AA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: AA
Enumeration Date: Jan 28, 2021
Last Updated: Jan 28, 2021

Practice Location

Address: 14387 EDGEWOOD DR
City: Baxter
State: Minnesota
ZIP Code: 56425-8460
Phone: (218) 454-5181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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