# KAVANA CARE MN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568354991
- **Authorized official:** SAMUEL TENNENBAUM (SOLE MBR)
- **Authorized official phone:** (516) 371-9500

## Contact information

- **Practice address:** 5201 EDEN AVE, EDINA, MN 55436-2316
- **Practice address phone:** (516) 371-9500
- **Mailing address:** 5201 EDEN AVE STE 300, EDINA, MN 55436-2315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 07/18/2025