Individual
CARRIE ANN BROOKS BONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 331-9413
Mailing address
6211 EDGEMONT BLVD N, BROOKLYN PARK, MN 55428-2654
(612) 860-7006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9325
MN
Other
Enumeration date
01/19/2012
Last updated
06/21/2019
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