Individual
DORA RAGIN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3036 33RD AVE S, MINNEAPOLIS, MN 55406-2021
(612) 991-7584
Mailing address
3036 33RD AVE S, MINNEAPOLIS, MN 55406-2021
(612) 991-7584
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37167
MN
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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