Individual
MS. KELLI BRIDGET CAPOCASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
2344 HELEN ST N, NORTH ST PAUL, MN 55109-2942
(651) 773-5988
(651) 773-5978
Mailing address
4120 5TH AVE S, MINNEAPOLIS, MN 55409-1625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4748
MN
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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