Individual
CHAYLA FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2030 RAHN WAY, EAGAN, MN 55122-2300
(651) 529-1960
Mailing address
2030 RAHN WAY, EAGAN, MN 55122-2300
(320) 220-5522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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