Individual
MR. MICAH CHAUNCEY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS,MSE
Contact information
Practice address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(612) 670-4355
Mailing address
3501 ALDRICH AVE S, MINNEAPOLIS, MN 55408-4149
(612) 670-4355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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