Alisha Fogelson

NPI #1932885746 in Sartell, Minnesota

Provider Information

NPI Number: 1932885746
Entity Type: Individual
Name: Alisha Fogelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 26, 2023
Last Updated: Jun 26, 2023

Practice Location

Address: 1908 KRUCHTEN CT S
City: Sartell
State: Minnesota
ZIP Code: 56377
Phone: (320) 640-7660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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