Individual
CHING YENG THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
1311 FARRINGTON ST, SAINT PAUL, MN 55117-4447
(651) 347-9958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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