Organization
RIVER CITY THERAPY CENTER, LLC
Active
Other names
River City Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE BALAUN M.S., BCBA (OWNER & CLINICAL DIRECTOR)
(651) 360-3202
Entity
Organization
Contact information
Practice address
4911 LEARNING LN, RED WING, MN 55066-4533
(651) 360-3202
(651) 369-2833
Mailing address
4911 LEARNING LN, RED WING, MN 55066-4533
(651) 360-3202
(651) 369-2833
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
07/08/2022
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