Individual
ADDISON JOSHUA CATIPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2829
(907) 617-8856
Mailing address
4201 DEAN LAKES BLVD STE 160, SHAKOPEE, MN 55379-2863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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