Individual
MR. ANTHONY STEVEN NEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 353-3023
Mailing address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 353-3023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q767192099620
—
MN
Enumeration date
03/23/2021
Last updated
03/23/2021
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