Individual
ANA-ALICIA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 FELTL RD, MINNETONKA, MN 55343-3944
(320) 309-3916
Mailing address
5501 FELTL RD, MINNETONKA, MN 55343-3944
(320) 309-3916
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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