Individual
TAYLOR LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1160 CENTRE POINTE DR STE 7, MENDOTA HEIGHTS, MN 55120-1377
(952) 401-9359
Mailing address
8544 VICKORS LN, BROOKLYN PARK, MN 55443-3864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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