Individual
BREANNA MARIE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 VIKING DR STE 180, EDEN PRAIRIE, MN 55344-7222
(612) 712-4307
(600) 513-7773
Mailing address
2110 TURPIN ST, SAINT PETER, MN 56082-1776
(612) 712-4307
(800) 513-7773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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