Individual
ALEXA MARY MILLIREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 CENTER ST, WINONA, MN 55987-3595
(952) 746-5350
Mailing address
1509 SOUTHCROSS DR W, BURNSVILLE, MN 55306-6945
(952) 491-9810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1220-140
WI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/11/2020
Last updated
04/25/2024
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