Individual
BRENDAN ODEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA BCBA
Contact information
Practice address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1968
(612) 767-7222
(612) 767-7222
Mailing address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1968
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1303140
WI
Other
Enumeration date
11/14/2024
Last updated
04/21/2025
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