Individual
BROOKE STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
307 W 15TH ST APT 45, MINNEAPOLIS, MN 55403-2270
(952) 222-6388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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