Individual
ALEXA JONES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 VIKING DR, EDEN PRAIRIE, MN 55344-7207
(612) 509-6680
Mailing address
3814 CORAL BELL DR, SHAKOPEE, MN 55379-5727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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