Individual
AMBER LYNN WANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(612) 509-6690
(612) 509-6699
Mailing address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(612) 509-6690
(612) 509-6699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1154095404
MN
Other
Enumeration date
08/02/2021
Last updated
12/19/2025
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