Individual
BENJAMIN LEE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7615 GOLDEN TRIANGLE DR STE A, EDEN PRAIRIE, MN 55344-3733
(952) 767-2974
Mailing address
7615 GOLDEN TRIANGLE DR STE A, EDEN PRAIRIE, MN 55344-3733
(952) 767-2974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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