Individual
HEATHER K BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20535
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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