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Individual

KEVIN JAMES VAN PATTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1160 CENTRE POINTE DRIVE, STE 7, MENDOTA HEIGHTS, MN 55120
(952) 401-9359
Mailing address
1160 CENTRE POINTE DR, MENDOTA HEIGHTS, MN 55120-1351
(952) 401-9359

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75125
MN
106S00000X
Behavior Technician

Other

Enumeration date
09/08/2021
Last updated
01/28/2025
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