Individual
NINI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2829
(612) 800-8351
Mailing address
2075 BRITTANY CT, SHAKOPEE, MN 55379-4388
(763) 742-5021
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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