Brendan Tou Leng Thao

NPI #1992549752 in Bloomington, Minnesota

Provider Information

NPI Number: 1992549752
Entity Type: Individual
Name: Brendan Tou Leng Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 25, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 1801 AMERICAN BLVD E STE 8
City: Bloomington
State: Minnesota
ZIP Code: 55425-1230
Phone: (952) 767-2267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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