Individual
ASHLEE ALYSSA ACHTENBERG SOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
16311 GRIFFON TRL, LAKEVILLE, MN 55044-7222
(651) 707-4376
Mailing address
16311 GRIFFON TRL, LAKEVILLE, MN 55044-7222
(651) 707-4376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
508-140
WI
103K00000X
Behavior Analyst
Primary
LBA0482
MN
Other
Enumeration date
11/18/2019
Last updated
04/16/2025
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