Individual
AYDEN NICHOLAS WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(651) 424-4062
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55057
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/24/2020
Last updated
04/03/2024
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