Individual
STEPHANIE DOEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7760 FRANCE AVE S, MINNEAPOLIS, MN 55435-5800
(612) 594-8405
Mailing address
4036 W 134TH ST, SAVAGE, MN 55378-2512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29389
FL
Other
Enumeration date
04/09/2018
Last updated
11/11/2021
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