Paul John Thinesen, MA LP BCBA

NPI #1982774352 in Long Lake, Minnesota

Provider Information

NPI Number: 1982774352
Entity Type: Individual
Name: Paul John Thinesen, MA LP BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: MA LP BCBA
Enumeration Date: Nov 9, 2006
Last Updated: May 18, 2010

Practice Location

Address: 2565 MORNINGSIDE RD
City: Long Lake
State: Minnesota
ZIP Code: 55356-9109
Phone: (651) 263-0763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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