Individual
AVA ROSE YAN YAN VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 PENN AVE S, RICHFIELD, MN 55423-1139
(612) 677-2350
Mailing address
3717 BLAISDELL AVE, MINNEAPOLIS, MN 55409-1214
(651) 300-7166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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