Individual
MR. JUSTIN KIRBY LARSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, MHP
Contact information
Practice address
7760 FRANCE AVE S FL SOULTH11, MINNEAPOLIS, MN 55435-5800
(612) 594-8405
(855) 568-2494
Mailing address
7760 FRANCE AVE S FL SOULTH11, MINNEAPOLIS, MN 55435-5800
(612) 594-8405
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
12/12/2022
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