Organization
LOVAAS INSTITUTE FOR EARLY INTERVENTION - MIDWEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC VERNER LARSSON P.H.D., L.P. (CLINICAL DIRECTOR)
(612) 925-8365
Entity
Organization
Contact information
Practice address
3800 AMERICAN BLVD W STE 740, BLOOMINGTON, MN 55431-4422
(612) 925-8365
(612) 925-8366
Mailing address
3800 AMERICAN BLVD W STE 740, MINNEAPOLIS, MN 55431-4422
(612) 925-8365
(612) 925-8366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10211043
—
103TC0700X
Clinical Psychologist
LP1531
MN
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064951100
—
MN
01
—
068K2LO
BCBS OF MN
MN
Enumeration date
11/02/2006
Last updated
08/31/2021
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