Individual
DEREK MITCHELL RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
105
SD
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/09/2026
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