Individual
AMINO ESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 112TH AVE NE, BLAINE, MN 55434-0009
(651) 410-8833
Mailing address
4308 129TH AVE NE, BLAINE, MN 55449-2227
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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