Individual
TYLER KELLY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2147 UNIVERSITY AVE W STE 205, SAINT PAUL, MN 55114-1327
(920) 664-3050
(651) 352-2706
Mailing address
957 ARMSTRONG AVE, SAINT PAUL, MN 55102-3709
(920) 664-3050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10041
MN
103K00000X
Behavior Analyst
1-12-10041
WI
103K00000X
Behavior Analyst
1-12-10041
—
Other
Enumeration date
03/07/2012
Last updated
05/03/2024
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