Individual
BAILEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(630) 677-3557
Mailing address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(630) 677-3557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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