Individual
BETANYA FIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1600
(651) 502-2945
Mailing address
2233 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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