Individual
ADITYA MANJUNATH TULAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 W TRAVELERS TRL, BURNSVILLE, MN 55337-2554
(952) 247-2954
Mailing address
427 W TRAVELERS TRL, BURNSVILLE, MN 55337-2554
(952) 247-2954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/03/2023
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