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Individual

TALIA VAN SICLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
15025 ATHENRY BAY, ROSEMOUNT, MN 55068-3506
(952) 960-8985
Mailing address
14949 FLORENCE TRL STE 100&200, APPLE VALLEY, MN 55124-4716
(952) 960-8985

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/16/2022
Last updated
10/30/2025
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