Individual
MS. JOYCE MCQUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABS & ASD SPECIALIST
Contact information
Practice address
4891 MILLER TRUNK HWY STE 104, HERMANTOWN, MN 55811-1579
(218) 302-1966
Mailing address
1309 SAHLMAN AVE, CLOQUET, MN 55720-2516
(218) 390-4755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
347012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347012
MN PROFESSIONAL BOARD OF LICENSING
MN
Enumeration date
06/10/2021
Last updated
06/10/2021
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