Individual
BRYSTIN VITENSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 E SUPERIOR ST, DULUTH, MN 55812-1634
(218) 391-3215
Mailing address
101 W 2ND ST, DULUTH, MN 55802-2086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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