Organization
NEURODIVER-CITY LLC
Active
Other names
Neurodiver-City
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY CARPENTER (OPERATIONS OFFICER)
(651) 249-6739
Entity
Organization
Contact information
Practice address
406 2ND AVE E, SHAKOPEE, MN 55379-1510
(651) 249-6739
Mailing address
406 2ND AVE E, SHAKOPEE, MN 55379-1510
(651) 249-6739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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