Individual
AMIYAH KAY MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR, WOODBURY, MN 55125-1700
(612) 439-4653
Mailing address
7416 COLUMBIA CT, WOODBURY, MN 55125-1669
(763) 485-4528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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