Individual
JACQUELINE BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 E BLOOMINGTON FWY STE 143, BLOOMINGTON, MN 55420-3444
(651) 235-9451
Mailing address
1904 WILCOX BLVD W, NORTHFIELD, MN 55057-3811
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MN
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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