Individual
TIMOTHY CHESTER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(860) 235-8454
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/06/2020
Last updated
11/18/2024
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