Individual
CAPRICE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 E BLOOMINGTON FWY, SUITE 143, BLOOMINGTON, MN 55420-3435
(952) 777-4996
Mailing address
9001 E BLOOMINGTON FWY, SUITE 143, BLOOMINGTON, MN 55420-3435
(952) 777-4996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/22/2016
Last updated
07/22/2021
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