Individual
BRENDA KAY WALDELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 3RD AVE E STE 10012403, SHAKOPEE, MN 55379-2135
(952) 777-4996
Mailing address
1240 3RD AVE E STE 10012403, SHAKOPEE, MN 55379-2135
(952) 777-4996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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