Individual
JO WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6205 CONCORD AVE, EDINA, MN 55424-1737
(719) 213-7212
Mailing address
6205 CONCORD AVE, EDINA, MN 55424-1737
(719) 213-7212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50344
MN
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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