Individual
LAUREN ELIZABETH MICOLICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCABA
Contact information
Practice address
625 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6734
(612) 445-5433
Mailing address
625 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85123
MN
Other
Enumeration date
07/30/2024
Last updated
10/20/2025
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