Individual
ERICKA KRYSTAL MICHELLE CLEMONS-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR STE 102-104, WOODBURY, MN 55125-1700
(612) 439-4653
Mailing address
804 4TH ST E, SAINT PAUL, MN 55106-5145
(803) 915-9078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
11/06/2025
Last updated
11/07/2025
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