Individual
ELISEA LYNN LYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 TYLER ST NE, MINNEAPOLIS, MN 55418-2146
(651) 802-6314
Mailing address
1011 MEADOWLANDS DR UNIT 12, WHITE BEAR LAKE, MN 55127-2339
(612) 445-0300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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