Individual
MR. JOSEPH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., B.C.B.A
Contact information
Practice address
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343-9144
(952) 401-9359
Mailing address
2933 PARK AVE # 2, MINNEAPOLIS, MN 55407-4244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26091
MN
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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