Individual
DEJA MONET COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N, PLYMOUTH, MN 55447-5103
(612) 445-8314
Mailing address
5908 2 1/2 ST NE APT 4, FRIDLEY, MN 55432-5588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K0000X
BCBA
MN
Enumeration date
08/09/2021
Last updated
08/09/2021
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