Individual
MIA ANNE MOORE INFANTE
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
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35103
—
Other
Enumeration date
06/17/2019
Last updated
11/13/2025
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