Individual
ALEXIS ANN LUSTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 231-2590
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0212
MN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
02/16/2026
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