Individual
ALEXANDRA PAIGE SYVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811-3309
(218) 514-5230
Mailing address
4301 REGENT ST, DULUTH, MN 55804-2169
(218) 766-4760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
MN
Other
Enumeration date
06/23/2021
Last updated
04/19/2022
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