Individual
MRS. KYLIE H H BALAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LBA, BCBA
Contact information
Practice address
4911 LEARNING LN, RED WING, MN 55066-4533
(651) 360-3202
(651) 369-2833
Mailing address
33693 HIBERNIA ST, FRONTENAC, MN 55026-1002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0023
MN
Other
Enumeration date
09/08/2020
Last updated
01/05/2025
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